- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.00 / $3,111.44 / $7,838.38
| Facility | | $1,047.00 | $3,111.44 | $7,838.38 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,471.50 / $7,471.50 / $7,471.50
| Facility | 50 | $7,471.50 | $7,471.50 | $7,471.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,517.39 / $13,325.38 / $24,181.26
| Facility | | $4,517.39 | $13,325.38 | $24,181.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $571.84 / $727.79 / $877.56
| Facility | | $571.84 | $727.79 | $877.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,602.00 / $9,127.00 / $10,150.00
| Facility | | $6,602.00 | $9,127.00 | $10,150.00 |