- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,450.76 / $9,902.11 / $19,675.25
| Facility | | $1,450.76 | $9,902.11 | $19,675.25 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $6,985.00 / $36,000.00 / $36,000.00
| Facility | 50 | $6,985.00 | $36,000.00 | $36,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,500.00 / $20,323.00 / $21,225.00
| Facility | | $10,500.00 | $20,323.00 | $21,225.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,668.98 / $31,281.82 / $67,834.27
| Facility | | $28,668.98 | $31,281.82 | $67,834.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,066.00 / $13,781.00 / $27,214.00
| Facility | | $6,066.00 | $13,781.00 | $27,214.00 |