- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $5,495.41 / $11,220.18
| Facility | | $1,000.00 | $5,495.41 | $11,220.18 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,888.44 / $6,760.83 / $9,120.11
| Facility | 50 | $5,888.44 | $6,760.83 | $9,120.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $6,606.93 / $57,543.99
| Facility | | $6,456.54 | $6,606.93 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $16,982.44 / $17,378.01
| Facility | | $14,454.40 | $16,982.44 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,079.46 / $10,964.78 / $38,904.51
| Facility | 50 | $7,079.46 | $10,964.78 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,023.29 / $4,786.30 / $10,000.00
| Facility | | $1,023.29 | $4,786.30 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,888.44 / $6,760.83 / $8,317.64
| Facility | 50 | $5,888.44 | $6,760.83 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $891.25 / $1,445.44
| Facility | | $891.25 | $891.25 | $1,445.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $691.83 / $2,454.71
| Facility | | $588.84 | $691.83 | $2,454.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.30 / $3,981.07 / $12,022.64
| Facility | | $2,089.30 | $3,981.07 | $12,022.64 |