- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $239.88 / $239.88 / $5,011.87
| Facility | | $239.88 | $239.88 | $5,011.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,380.38 / $13,182.57 / $31,622.78
| Facility | | $1,380.38 | $13,182.57 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $16,218.10 / $29,512.09 / $74,131.02
| Facility | 50 | $16,218.10 | $29,512.09 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $831.76 / $1,995.26
| Facility | | $588.84 | $831.76 | $1,995.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $645.65 / $794.33 / $1,548.82
| Facility | | $645.65 | $794.33 | $1,548.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $512.86 / $9,332.54
| Facility | | $309.03 | $512.86 | $9,332.54 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,318.26 / $1,819.70 / $3,467.37
| Facility | 50 | $1,318.26 | $1,819.70 | $3,467.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,019.95 / $6,025.60 / $17,782.79
| Facility | | $3,019.95 | $6,025.60 | $17,782.79 |