- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $8,128.31 / $10,964.78
| Facility | | $371.54 | $8,128.31 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $10,964.78 / $10,964.78 / $10,964.78
| Facility | 50 | $10,964.78 | $10,964.78 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $7,413.10 / $16,982.44
| Facility | | $2,137.96 | $7,413.10 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $8,709.64 / $15,488.17 / $39,810.72
| Facility | 50 | $8,709.64 | $15,488.17 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912.01 / $1,288.25 / $3,090.30
| Facility | | $912.01 | $1,288.25 | $3,090.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $1,230.27 / $2,398.83
| Facility | | $1,000.00 | $1,230.27 | $2,398.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $478.63 / $794.33 / $8,317.64
| Facility | | $478.63 | $794.33 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,244.36 / $7,244.36 / $7,244.36
| Facility | 50 | $7,244.36 | $7,244.36 | $7,244.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,884.03 / $5,248.07 / $9,332.54
| Facility | | $2,884.03 | $5,248.07 | $9,332.54 |