- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $455.66 / $455.66 / $6,781.00
| Facility | | $455.66 | $455.66 | $6,781.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,421.65 / $4,030.61 / $13,657.56
| Facility | 50 | $2,421.65 | $4,030.61 | $13,657.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,099.44 / $10,766.58 / $24,323.22
| Facility | | $2,099.44 | $10,766.58 | $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
- $1,057.04 / $1,499.02 / $3,606.09
| Facility | | $1,057.04 | $1,499.02 | $3,606.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $859.30 / $1,370.46 / $2,839.44
| Facility | | $859.30 | $1,370.46 | $2,839.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $659.77 / $876.90 / $9,404.00
| Facility | | $659.77 | $876.90 | $9,404.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $0.54 / $3,220.44 / $5,676.30
| Facility | 50 | $0.54 | $3,220.44 | $5,676.30 |
- 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 |