- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $5,011.87 / $12,022.64
| Facility | | $1,445.44 | $5,011.87 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,413.10 / $10,471.29 / $20,892.96
| Facility | 50 | $7,413.10 | $10,471.29 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $8,912.51 / $17,782.79
| Facility | | $3,311.31 | $8,912.51 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $3,311.31 / $8,128.31
| Facility | | $1,071.52 | $3,311.31 | $8,128.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,454.71 / $7,244.36 / $16,218.10
| Facility | | $2,454.71 | $7,244.36 | $16,218.10 |