- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,818.38 / $8,511.38 / $24,547.09
| Facility | | $2,818.38 | $8,511.38 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,265.80 / $12,589.25 / $34,673.69
| Facility | | $4,265.80 | $12,589.25 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,623.41 / $15,848.93 / $51,286.14
| Facility | 50 | $5,623.41 | $15,848.93 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $10,964.78 / $10,964.78
| Facility | | $10,964.78 | $10,964.78 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,174.90 / $1,949.84 / $7,585.78
| Facility | | $1,174.90 | $1,949.84 | $7,585.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $29,512.09 / $45,708.82
| Facility | | $23,988.33 | $29,512.09 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $35,481.34 / $51,286.14 / $67,608.30
| Facility | 50 | $35,481.34 | $51,286.14 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,786.30 / $12,022.64 / $45,708.82
| Facility | | $4,786.30 | $12,022.64 | $45,708.82 |