- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,594.27 / $8,023.32 / $21,899.37
| Facility | | $2,594.27 | $8,023.32 | $21,899.37 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,421.65 / $3,231.21 / $12,084.00
| Facility | 50 | $2,421.65 | $3,231.21 | $12,084.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,970.26 / $10,801.75 / $20,277.64
| Facility | | $7,970.26 | $10,801.75 | $20,277.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $408.87 / $715.52 / $10,247.57
| Facility | | $408.87 | $715.52 | $10,247.57 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $17,688.45 / $17,688.45 / $28,071.00
| Facility | 50 | $17,688.45 | $17,688.45 | $28,071.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $817.43 / $1,160.52 / $4,487.09
| Facility | | $817.43 | $1,160.52 | $4,487.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,341.00 / $7,441.00 / $8,816.00
| Facility | | $5,341.00 | $7,441.00 | $8,816.00 |