- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,548.82 / $7,079.46 / $23,988.33
| Facility | | $1,548.82 | $7,079.46 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $20,417.38 / $20,417.38 / $20,417.38
| Facility | 22 | $20,417.38 | $20,417.38 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $6,918.31 / $13,803.84 / $51,286.14
| Facility | 50 | $6,918.31 | $13,803.84 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $17,378.01 / $41,686.94
| Facility | | $5,754.40 | $17,378.01 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,148.15 / $3,388.44 / $14,791.08
| Facility | | $1,148.15 | $3,388.44 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $2,344.23 / $2,344.23 / $2,344.23
| Facility | 22 | $2,344.23 | $2,344.23 | $2,344.23 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $194.98 / $194.98 / $194.98
| Facility | AS | $194.98 | $194.98 | $194.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,715.35 / $12,302.69 / $33,884.42
| Facility | | $3,715.35 | $12,302.69 | $33,884.42 |