- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.79 / $8,716.00 / $16,467.00
| Facility | | $537.79 | $8,716.00 | $16,467.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,339.73 / $6,042.00 / $14,884.50
| Facility | 50 | $2,339.73 | $6,042.00 | $14,884.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,458.44 / $4,522.55 / $10,419.37
| Facility | | $1,458.44 | $4,522.55 | $10,419.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,086.58 / $3,086.58 / $3,966.31
| Facility | | $3,086.58 | $3,086.58 | $3,966.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $470.27 / $593.91 / $982.19
| Facility | | $470.27 | $593.91 | $982.19 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $890.88 / $890.88 / $1,227.95
| Facility | 50 | $890.88 | $890.88 | $1,227.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $12,798.00 / $19,665.00
| Facility | | $2,155.00 | $12,798.00 | $19,665.00 |