- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $4,786.30 / $12,022.64
| Facility | | $707.95 | $4,786.30 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,258.93 / $5,011.87 / $14,125.38
| Facility | 50 | $1,258.93 | $5,011.87 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,235.94 / $8,511.38 / $18,197.01
| Facility | | $3,235.94 | $8,511.38 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $758.58 / $1,862.09 / $14,454.40
| Facility | | $758.58 | $1,862.09 | $14,454.40 |
- 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 |