- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $10,471.29 / $18,197.01
| Facility | | $5,370.32 | $10,471.29 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $6,025.60 / $11,481.54 / $15,848.93
| Facility | 50 | $6,025.60 | $11,481.54 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $6,918.31 / $13,803.84
| Facility | | $2,951.21 | $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
- $676.08 / $977.24 / $1,819.70
| Facility | | $676.08 | $977.24 | $1,819.70 |
- 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 |