- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $5,623.41 / $8,912.51
| Facility | | $616.60 | $5,623.41 | $8,912.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,467.37 / $13,803.84 / $32,359.37
| Facility | | $3,467.37 | $13,803.84 | $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
- $1,584.89 / $2,238.72 / $5,370.32
| Facility | | $1,584.89 | $2,238.72 | $5,370.32 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $1,230.27 / $1,230.27 / $1,230.27
| Facility | 22 | $1,230.27 | $1,230.27 | $1,230.27 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $102.33 / $102.33 / $102.33
| Facility | AS | $102.33 | $102.33 | $102.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,737.80 / $2,137.96 / $4,168.69
| Facility | | $1,737.80 | $2,137.96 | $4,168.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $645.65 / $1,258.93 / $7,585.78
| Facility | | $645.65 | $1,258.93 | $7,585.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,818.38 / $5,011.87 / $10,715.19
| Facility | | $2,818.38 | $5,011.87 | $10,715.19 |