- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $724.44 / $1,949.84 / $6,760.83
| Facility | | $724.44 | $1,949.84 | $6,760.83 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $630.96 / $2,187.76 / $5,888.44
| Facility | 50 | $630.96 | $2,187.76 | $5,888.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $10,964.78 / $18,197.01
| Facility | | $7,079.46 | $10,964.78 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $3,019.95 / $10,715.19
| Facility | | $436.52 | $3,019.95 | $10,715.19 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,089.30 / $2,089.30 / $9,549.93
| Facility | 50 | $2,089.30 | $2,089.30 | $9,549.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.27 / $4,677.35 / $8,511.38
| Facility | | $1,230.27 | $4,677.35 | $8,511.38 |