- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,819.70 / $6,918.31 / $10,964.78
| Facility | | $1,819.70 | $6,918.31 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,698.24 / $5,370.32 / $10,000.00
| Facility | 50 | $1,698.24 | $5,370.32 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $9,120.11 / $9,120.11
| Facility | | $9,120.11 | $9,120.11 | $9,120.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $12,302.69 / $19,498.45
| Facility | | $7,943.28 | $12,302.69 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,630.78 / $7,585.78 / $15,135.61
| Facility | | $3,630.78 | $7,585.78 | $15,135.61 |