- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,506.15 / $5,909.48 / $13,841.56
| Facility | | $1,506.15 | $5,909.48 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,026.00 / $12,140.63 / $12,140.63
| Facility | 50 | $1,026.00 | $12,140.63 | $12,140.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,187.86 / $8,386.12 / $15,742.91
| Facility | | $6,187.86 | $8,386.12 | $15,742.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $643.77 / $1,188.83 / $8,632.00
| Facility | | $643.77 | $1,188.83 | $8,632.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,107.28 / $1,470.59 / $2,865.45
| Facility | | $1,107.28 | $1,470.59 | $2,865.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,341.00 / $7,441.00 / $8,816.00
| Facility | | $5,341.00 | $7,441.00 | $8,816.00 |