- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $4,897.79 / $8,511.38
| Facility | | $831.76 | $4,897.79 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,754.23 / $2,754.23 / $10,964.78
| Facility | 50 | $2,754.23 | $2,754.23 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.97 / $1,071.52 / $1,621.81
| Facility | | $181.97 | $1,071.52 | $1,621.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $2,398.83 / $6,918.31
| Facility | | $831.76 | $2,398.83 | $6,918.31 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,754.23 / $2,754.23 / $10,964.78
| Facility | 50 | $2,754.23 | $2,754.23 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,019.95 / $6,456.54 / $10,471.29
| Facility | | $3,019.95 | $6,456.54 | $10,471.29 |