- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,664.90 / $6,408.55 / $19,276.96
| Facility | | $1,664.90 | $6,408.55 | $19,276.96 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,868.24 / $3,705.79 / $8,725.50
| Facility | 50 | $2,868.24 | $3,705.79 | $8,725.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,232.51 / $1,670.37 / $3,135.72
| Facility | | $1,232.51 | $1,670.37 | $3,135.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $367.90 / $1,070.94 / $8,816.00
| Facility | | $367.90 | $1,070.94 | $8,816.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $6,410.00 / $6,410.00 / $19,371.48
| Facility | 50 | $6,410.00 | $6,410.00 | $19,371.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $693.95 / $1,029.69 / $4,487.09
| Facility | | $693.95 | $1,029.69 | $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 |