- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $10,964.78 / $22,387.21
| Facility | | $1,122.02 | $10,964.78 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $25,703.96 / $58,884.37
| Facility | | $6,918.31 | $25,703.96 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $30,199.52 / $53,703.18 / $138,038.43
| Facility | 50 | $30,199.52 | $53,703.18 | $138,038.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,884.03 / $4,073.80 / $9,772.37
| Facility | | $2,884.03 | $4,073.80 | $9,772.37 |
- 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
- $3,162.28 / $3,981.07 / $7,762.47
| Facility | | $3,162.28 | $3,981.07 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,202.26 / $2,344.23 / $14,454.40
| Facility | | $1,202.26 | $2,344.23 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $13,489.63 / $33,113.11
| Facility | | $5,370.32 | $13,489.63 | $33,113.11 |