- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $950.18 / $5,425.50 / $23,353.17
| Facility | | $950.18 | $5,425.50 | $23,353.17 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,121.37 / $6,371.26 / $9,101.36
| Facility | 50 | $3,121.37 | $6,371.26 | $9,101.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,694.95 / $7,815.03 / $10,646.21
| Facility | | $6,694.95 | $7,815.03 | $10,646.21 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,612.58 / $4,929.37 / $6,843.73
| Facility | 50 | $3,612.58 | $4,929.37 | $6,843.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $950.18 / $5,757.00 / $23,353.17
| Facility | | $950.18 | $5,757.00 | $23,353.17 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,168.58 / $5,472.24 / $9,101.36
| Facility | 50 | $3,168.58 | $5,472.24 | $9,101.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,069.00 / $8,847.00 / $10,652.00
| Facility | | $4,069.00 | $8,847.00 | $10,652.00 |