- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,526.23 / $5,757.00 / $27,993.62
| Facility | | $1,526.23 | $5,757.00 | $27,993.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,674.73 / $26,613.46 / $36,057.01
| Facility | | $22,674.73 | $26,613.46 | $36,057.01 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $13,058.48 / $18,028.50 / $20,868.71
| Facility | 50 | $13,058.48 | $18,028.50 | $20,868.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,421.87 / $5,509.80 / $17,495.98
| Facility | | $1,421.87 | $5,509.80 | $17,495.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,356.00 / $12,544.00 / $23,945.00
| Facility | | $5,356.00 | $12,544.00 | $23,945.00 |