- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,299.82 / $6,094.85 / $17,364.16
| Facility | | $3,299.82 | $6,094.85 | $17,364.16 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,164.99 / $5,817.59 / $7,864.73
| Facility | 50 | $1,164.99 | $5,817.59 | $7,864.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,062.50 / $1,871.40 / $3,788.31
| Professional | | $1,062.50 | $1,871.40 | $3,788.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,445.73 / $3,869.62 / $35,901.44
| Facility | | $2,445.73 | $3,869.62 | $35,901.44 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $0.33 / $0.33 / $4,599.62
| Facility | 50 | $0.33 | $0.33 | $4,599.62 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $2,858.74 / $2,858.74 / $2,858.74
| Facility | AS | $2,858.74 | $2,858.74 | $2,858.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,127.05 / $3,508.37 / $10,543.81
| Facility | | $2,127.05 | $3,508.37 | $10,543.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,220.00 / $9,346.00 / $14,242.22
| Facility | | $8,220.00 | $9,346.00 | $14,242.22 |