- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $812.83 / $4,897.79 / $12,302.69
| Facility | | $812.83 | $4,897.79 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $53,703.18 / $53,703.18 / $53,703.18
| Facility | 22 | $53,703.18 | $53,703.18 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,230.27 / $6,165.95 / $15,488.17
| Facility | 50 | $1,230.27 | $6,165.95 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,548.13 / $8,511.38 / $18,620.87
| Facility | | $3,548.13 | $8,511.38 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $1,737.80 / $11,481.54
| Facility | | $851.14 | $1,737.80 | $11,481.54 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $1,023.29 / $1,023.29 / $1,023.29
| Facility | 22 | $1,023.29 | $1,023.29 | $1,023.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,905.46 / $5,754.40 / $14,125.38
| Facility | | $1,905.46 | $5,754.40 | $14,125.38 |