- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,513.56 / $6,309.57 / $10,715.19
| Facility | | $1,513.56 | $6,309.57 | $10,715.19 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,548.13 / $8,912.51 / $57,543.99
| Facility | 50 | $3,548.13 | $8,912.51 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $14,125.38 / $57,543.99
| Facility | | $14,125.38 | $14,125.38 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,570.88 / $37,153.52 / $77,624.71
| Facility | | $4,570.88 | $37,153.52 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $4,168.69 / $45,708.82 / $117,489.76
| Facility | 50 | $4,168.69 | $45,708.82 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,174.90 / $5,754.40 / $10,715.19
| Facility | | $1,174.90 | $5,754.40 | $10,715.19 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,548.13 / $9,549.93 / $61,659.50
| Facility | 50 | $3,548.13 | $9,549.93 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,621.81 / $1,621.81 / $2,398.83
| Facility | | $1,621.81 | $1,621.81 | $2,398.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $416.87 / $691.83 / $1,659.59
| Facility | | $416.87 | $691.83 | $1,659.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,454.71 / $5,495.41 / $42,657.95
| Facility | | $2,454.71 | $5,495.41 | $42,657.95 |