- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $2,884.03 / $4,897.79
| Facility | | $1,071.52 | $2,884.03 | $4,897.79 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $478.63 / $1,737.80 / $3,890.45
| Facility | 50 | $478.63 | $1,737.80 | $3,890.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912.01 / $6,309.57 / $45,708.82
| Facility | | $912.01 | $6,309.57 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $316.23 / $676.08 / $7,079.46
| Facility | | $316.23 | $676.08 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $5,248.07 / $11,220.18
| Facility | | $2,137.96 | $5,248.07 | $11,220.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,288.25 / $2,951.21 / $15,848.93
| Facility | | $1,288.25 | $2,951.21 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912.01 / $6,456.54 / $45,708.82
| Facility | | $912.01 | $6,456.54 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,041.74 / $5,248.07 / $12,882.50
| Facility | | $2,041.74 | $5,248.07 | $12,882.50 |