- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $288.40 / $3,388.44 / $10,471.29
| Facility | | $288.40 | $3,388.44 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $831.76 / $2,818.38 / $9,120.11
| Facility | 50 | $831.76 | $2,818.38 | $9,120.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.30 / $5,888.44 / $13,489.63
| Facility | | $2,089.30 | $5,888.44 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $1,288.25 / $13,182.57
| Facility | | $309.03 | $1,288.25 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,584.89 / $4,365.16 / $10,232.93
| Facility | | $1,584.89 | $4,365.16 | $10,232.93 |