- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.25 / $7,244.36 / $16,595.87
| Facility | | $933.25 | $7,244.36 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,128.61 / $6,606.93 / $7,762.47
| Facility | 50 | $5,128.61 | $6,606.93 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,691.53 / $6,918.31 / $13,803.84
| Facility | | $2,691.53 | $6,918.31 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $1,949.84 / $2,511.89
| Facility | | $707.95 | $1,949.84 | $2,511.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $870.96 / $1,584.89
| Facility | | $616.60 | $870.96 | $1,584.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,128.61 / $13,182.57 / $23,988.33
| Facility | | $5,128.61 | $13,182.57 | $23,988.33 |