- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $1,659.59 / $7,943.28
| Facility | | $371.54 | $1,659.59 | $7,943.28 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $776.25 / $2,511.89 / $8,317.64
| Facility | 50 | $776.25 | $2,511.89 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $562.34 / $1,174.90
| Facility | | $371.54 | $562.34 | $1,174.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $12,022.64 / $19,498.45
| Facility | | $12,022.64 | $12,022.64 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,548.13 / $9,549.93 / $14,454.40
| Facility | | $3,548.13 | $9,549.93 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $13,803.84 / $45,708.82
| Facility | | $13,803.84 | $13,803.84 | $45,708.82 |