- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $482.02 / $482.02 / $6,781.00
| Facility | | $482.02 | $482.02 | $6,781.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,191.06 / $3,191.06 / $3,191.06
| Facility | 50 | $3,191.06 | $3,191.06 | $3,191.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,223.32 / $10,766.58 / $24,323.22
| Facility | | $2,223.32 | $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
- $1,118.53 / $1,586.21 / $3,815.84
| Facility | | $1,118.53 | $1,586.21 | $3,815.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $909.28 / $1,450.18 / $3,004.60
| Facility | | $909.28 | $1,450.18 | $3,004.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $697.70 / $927.12 / $10,017.00
| Facility | | $697.70 | $927.12 | $10,017.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,956.84 / $4,402.50 / $9,106.50
| Facility | 50 | $1,956.84 | $4,402.50 | $9,106.50 |
- 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 |