- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,113.30 / $5,611.65 / $10,738.39
| Facility | | $1,113.30 | $5,611.65 | $10,738.39 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $975.04 / $3,284.26 / $9,303.00
| Facility | 50 | $975.04 | $3,284.26 | $9,303.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,035.08 / $29,551.96 / $62,624.67
| Facility | | $7,035.08 | $29,551.96 | $62,624.67 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $40,181.64 / $60,964.33 / $106,895.57
| Facility | 50 | $40,181.64 | $60,964.33 | $106,895.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,812.32 / $3,988.22 / $9,594.20
| Facility | | $2,812.32 | $3,988.22 | $9,594.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,286.21 / $3,646.19 / $7,554.49
| Facility | | $2,286.21 | $3,646.19 | $7,554.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,802.72 / $2,349.00 / $10,831.00
| Facility | | $1,802.72 | $2,349.00 | $10,831.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,312.11 / $4,661.46 / $14,196.74
| Facility | 50 | $2,312.11 | $4,661.46 | $14,196.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,577.00 / $10,743.00 / $12,774.00
| Facility | | $5,577.00 | $10,743.00 | $12,774.00 |