- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.13 / $9,332.54 / $11,220.18
| Facility | | $1,047.13 | $9,332.54 | $11,220.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $14,791.08 / $32,359.37
| Facility | | $6,309.57 | $14,791.08 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $16,982.44 / $30,199.52 / $75,857.76
| Facility | 50 | $16,982.44 | $30,199.52 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,691.53 / $3,801.89 / $9,120.11
| Facility | | $2,691.53 | $3,801.89 | $9,120.11 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $2,137.96 / $2,137.96 / $2,137.96
| Facility | 22 | $2,137.96 | $2,137.96 | $2,137.96 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $177.83 / $177.83 / $177.83
| Facility | AS | $177.83 | $177.83 | $177.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $3,715.35 / $7,244.36
| Facility | | $2,951.21 | $3,715.35 | $7,244.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,096.48 / $2,454.71 / $12,022.64
| Facility | | $1,096.48 | $2,454.71 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $9,332.54 / $13,182.57
| Facility | | $5,623.41 | $9,332.54 | $13,182.57 |