- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $153.81 / $1,433.00 / $4,215.32
| Facility | | $153.81 | $1,433.00 | $4,215.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $712.34 / $2,635.43 / $5,691.54
| Facility | | $712.34 | $2,635.43 | $5,691.54 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,651.84 / $5,540.64 / $9,715.03
| Facility | 50 | $3,651.84 | $5,540.64 | $9,715.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $357.96 / $507.63 / $1,221.18
| Facility | | $357.96 | $507.63 | $1,221.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $291.00 / $464.10 / $961.56
| Facility | | $291.00 | $464.10 | $961.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $227.63 / $296.61 / $3,745.58
| Facility | | $227.63 | $296.61 | $3,745.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,755.00 / $2,872.00 / $4,241.00
| Facility | | $1,755.00 | $2,872.00 | $4,241.00 |