- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218.78 / $5,248.07 / $16,595.87
| Facility | | $218.78 | $5,248.07 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,454.71 / $5,248.07 / $20,417.38
| Facility | 50 | $2,454.71 | $5,248.07 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,584.89 / $5,248.07 / $10,232.93
| Facility | | $1,584.89 | $5,248.07 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.44 / $575.44 / $2,041.74
| Facility | | $575.44 | $575.44 | $2,041.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.21 / $281.84 / $489.78
| Facility | | $186.21 | $281.84 | $489.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,754.23 / $11,220.18 / $17,378.01
| Facility | | $2,754.23 | $11,220.18 | $17,378.01 |