- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,709.14 / $8,477.27 / $19,276.96
| Facility | | $2,709.14 | $8,477.27 | $19,276.96 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,191.00 / $3,204.28 / $4,362.75
| Facility | 50 | $2,191.00 | $3,204.28 | $4,362.75 |
- 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
- $196.64 / $416.82 / $10,247.57
| Facility | | $196.64 | $416.82 | $10,247.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $370.04 / $539.24 / $4,487.09
| Facility | | $370.04 | $539.24 | $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 |