- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $10,506.16 / $21,899.37
| Facility | | $5,463.36 | $10,506.16 | $21,899.37 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $0.96 / $7,178.31 / $7,864.73
| Facility | 50 | $0.96 | $7,178.31 | $7,864.73 |
- 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
- $458.51 / $757.02 / $10,247.57
| Facility | | $458.51 | $757.02 | $10,247.57 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $0.93 / $0.93 / $0.93
| Facility | 50 | $0.93 | $0.93 | $0.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $864.44 / $1,228.75 / $4,487.09
| Facility | | $864.44 | $1,228.75 | $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 |