- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,039.04 / $4,252.00 / $9,109.84
| Facility | | $1,039.04 | $4,252.00 | $9,109.84 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,780.61 / $7,780.61 / $8,269.75
| Facility | 50 | $7,780.61 | $7,780.61 | $8,269.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,283.00 / $4,727.00 / $10,043.00
| Facility | | $3,283.00 | $4,727.00 | $10,043.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,696.18 / $2,079.74 / $2,960.20
| Facility | | $1,696.18 | $2,079.74 | $2,960.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,250.50 / $4,706.00 / $7,373.90
| Facility | | $2,250.50 | $4,706.00 | $7,373.90 |