- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,080.86 / $3,213.17 / $69,015.62
| Facility | | $2,080.86 | $3,213.17 | $69,015.62 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,911.10 / $10,651.56 / $33,230.40
| Facility | 50 | $3,911.10 | $10,651.56 | $33,230.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,468.29 / $1,935.88 / $2,878.29
| Facility | | $1,468.29 | $1,935.88 | $2,878.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,047.27 / $41,355.17 / $55,640.37
| Facility | | $20,047.27 | $41,355.17 | $55,640.37 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $28,998.89 / $62,032.76 / $83,460.56
| Facility | 50 | $28,998.89 | $62,032.76 | $83,460.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,800.00 / $15,872.00 / $70,019.00
| Facility | | $11,800.00 | $15,872.00 | $70,019.00 |