- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $2,691.53 / $8,317.64
| Facility | | $616.60 | $2,691.53 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $776.25 / $776.25 / $1,905.46
| Facility | 50 | $776.25 | $776.25 | $1,905.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $6,606.93 / $57,543.99
| Facility | | $6,456.54 | $6,606.93 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $8,128.31 / $8,128.31 / $8,128.31
| Facility | 50 | $8,128.31 | $8,128.31 | $8,128.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $2,089.30 / $8,317.64
| Facility | | $616.60 | $2,089.30 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $776.25 / $776.25 / $1,905.46
| Facility | 50 | $776.25 | $776.25 | $1,905.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $645.65 / $645.65 / $1,318.26
| Facility | | $645.65 | $645.65 | $1,318.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $575.44 / $630.96
| Facility | | $309.03 | $575.44 | $630.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.30 / $3,981.07 / $12,022.64
| Facility | | $2,089.30 | $3,981.07 | $12,022.64 |