- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $386.16 / $1,819.10 / $5,069.68
| Facility | | $386.16 | $1,819.10 | $5,069.68 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,191.06 / $4,030.61 / $6,636.00
| Facility | 50 | $3,191.06 | $4,030.61 | $6,636.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,779.96 / $10,766.58 / $24,323.22
| Facility | | $1,779.96 | $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
- $898.70 / $1,274.46 / $3,065.89
| Facility | | $898.70 | $1,274.46 | $3,065.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $730.57 / $1,165.16 / $2,414.09
| Facility | | $730.57 | $1,165.16 | $2,414.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $559.91 / $789.81 / $9,233.00
| Facility | | $559.91 | $789.81 | $9,233.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,765.11 / $3,787.66 / $7,809.48
| Facility | 50 | $1,765.11 | $3,787.66 | $7,809.48 |
- 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 |