- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $516.13 / $516.13 / $7,397.00
| Facility | | $516.13 | $516.13 | $7,397.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,815.49 / $8,994.75 / $20,318.18
| Facility | | $2,815.49 | $8,994.75 | $20,318.18 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $11,200.32 / $19,898.56 / $35,000.99
| Facility | 50 | $11,200.32 | $19,898.56 | $35,000.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,209.17 / $1,887.21 / $4,539.93
| Facility | | $1,209.17 | $1,887.21 | $4,539.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.85 / $1,722.20 / $3,574.75
| Facility | | $1,047.85 | $1,722.20 | $3,574.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $561.48 / $1,030.20 / $7,212.48
| Facility | | $561.48 | $1,030.20 | $7,212.48 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $4,502.54 / $4,502.54 / $12,271.50
| Facility | 50 | $4,502.54 | $4,502.54 | $12,271.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,437.00 / $9,370.00 / $12,774.00
| Facility | | $3,437.00 | $9,370.00 | $12,774.00 |