- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $389.05 / $389.05 / $5,011.87
| Facility | | $389.05 | $389.05 | $5,011.87 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,162.28 / $4,073.80 / $4,073.80
| Facility | 50 | $3,162.28 | $4,073.80 | $4,073.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,238.72 / $13,182.57 / $31,622.78
| Facility | | $2,238.72 | $13,182.57 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $16,218.10 / $29,512.09 / $74,131.02
| Facility | 50 | $16,218.10 | $29,512.09 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.99 / $1,348.96 / $3,235.94
| Facility | | $954.99 | $1,348.96 | $3,235.94 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $776.25 / $776.25 / $776.25
| Facility | 22 | $776.25 | $776.25 | $776.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,023.29 / $1,288.25 / $2,511.89
| Facility | | $1,023.29 | $1,288.25 | $2,511.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $1,023.29 / $9,332.54
| Facility | | $501.19 | $1,023.29 | $9,332.54 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,778.28 / $3,801.89 / $7,762.47
| Facility | 50 | $1,778.28 | $3,801.89 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,019.95 / $6,025.60 / $17,782.79
| Facility | | $3,019.95 | $6,025.60 | $17,782.79 |