- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,009.92 / $5,519.00 / $31,612.26
| Facility | | $2,009.92 | $5,519.00 | $31,612.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,219.46 / $18,219.46 / $18,270.68
| Facility | | $18,219.46 | $18,219.46 | $18,270.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $718.05 / $1,397.07 / $2,026.81
| Facility | | $718.05 | $1,397.07 | $2,026.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,480.16 / $46,554.36 / $73,028.60
| Facility | | $26,480.16 | $46,554.36 | $73,028.60 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $36,024.26 / $69,831.53 / $109,542.90
| Facility | 50 | $36,024.26 | $69,831.53 | $109,542.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,800.00 / $12,000.00 / $65,746.00
| Facility | | $4,800.00 | $12,000.00 | $65,746.00 |