- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $1,548.82 / $14,454.40
| Facility | | $630.96 | $1,548.82 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $6,456.54 / $12,882.50 / $12,882.50
| Facility | 50 | $6,456.54 | $12,882.50 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $13,182.57 / $21,877.62
| Facility | | $9,772.37 | $13,182.57 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,949.84 / $2,290.87 / $3,630.78
| Facility | | $1,949.84 | $2,290.87 | $3,630.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $741.31 / $2,884.03 / $5,370.32
| Facility | | $741.31 | $2,884.03 | $5,370.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $741.31 / $7,585.78 / $15,848.93
| Facility | | $741.31 | $7,585.78 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $0.49 / $0.49 / $0.49
| Facility | 50 | $0.49 | $0.49 | $0.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $912.01 / $1,778.28 / $2,754.23
| Professional | | $912.01 | $1,778.28 | $2,754.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $15,135.61 / $15,135.61
| Facility | | $10,232.93 | $15,135.61 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $12,302.69 / $16,595.87
| Facility | | $7,585.78 | $12,302.69 | $16,595.87 |