- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $511.06 / $511.06 / $6,781.00
| Facility | | $511.06 | $511.06 | $6,781.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,421.65 / $5,393.44 / $28,327.70
| Facility | 50 | $2,421.65 | $5,393.44 | $28,327.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,353.71 / $10,902.20 / $24,323.22
| Facility | | $2,353.71 | $10,902.20 | $24,323.22 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $15,606.43 / $23,678.36 / $41,517.91
| Facility | 50 | $15,606.43 | $23,678.36 | $41,517.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,185.07 / $1,680.57 / $4,042.84
| Facility | | $1,185.07 | $1,680.57 | $4,042.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $963.37 / $1,536.44 / $3,183.34
| Facility | | $963.37 | $1,536.44 | $3,183.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $662.52 / $982.36 / $9,404.00
| Facility | | $662.52 | $982.36 | $9,404.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,501.82 / $4,785.00 / $8,577.00
| Facility | 50 | $2,501.82 | $4,785.00 | $8,577.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,293.00 / $6,652.00 / $9,810.00
| Facility | | $3,293.00 | $6,652.00 | $9,810.00 |