- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,586.28 / $6,692.49 / $16,762.57
| Facility | | $1,586.28 | $6,692.49 | $16,762.57 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,450.13 / $2,513.58 / $4,624.52
| Facility | 50 | $1,450.13 | $2,513.58 | $4,624.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,121.08 / $6,940.38 / $13,028.86
| Facility | | $5,121.08 | $6,940.38 | $13,028.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $176.91 / $349.83 / $7,772.00
| Facility | | $176.91 | $349.83 | $7,772.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,419.50 / $2,419.50 / $7,392.00
| Facility | 50 | $2,419.50 | $2,419.50 | $7,392.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.37 / $481.60 / $3,054.91
| Facility | | $331.37 | $481.60 | $3,054.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |