- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $4,073.80 / $10,471.29
| Facility | | $562.34 | $4,073.80 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,348.96 / $5,370.32 / $26,302.68
| Facility | 50 | $1,348.96 | $5,370.32 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $7,585.78 / $57,543.99
| Facility | | $6,456.54 | $7,585.78 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $16,218.10 / $38,904.51
| Facility | | $851.14 | $16,218.10 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,258.93 / $11,481.54 / $37,153.52
| Facility | 50 | $1,258.93 | $11,481.54 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $3,630.78 / $9,549.93
| Facility | | $562.34 | $3,630.78 | $9,549.93 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $977.24 / $4,677.35 / $20,417.38
| Facility | 50 | $977.24 | $4,677.35 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $758.58 / $7,413.10 / $19,054.61
| Facility | | $758.58 | $7,413.10 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $467.74 / $630.96
| Facility | | $371.54 | $467.74 | $630.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.30 / $3,981.07 / $21,877.62
| Facility | | $2,089.30 | $3,981.07 | $21,877.62 |