- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.30 / $4,365.16 / $10,715.19
| Facility | | $2,089.30 | $4,365.16 | $10,715.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,884.03 / $8,317.64 / $23,988.33
| Facility | | $2,884.03 | $8,317.64 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $4,365.16 / $11,220.18 / $36,307.81
| Facility | 50 | $4,365.16 | $11,220.18 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $2,570.40 / $7,413.10
| Facility | | $1,348.96 | $2,570.40 | $7,413.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $20,892.96 / $29,512.09
| Facility | | $15,848.93 | $20,892.96 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $23,988.33 / $34,673.69 / $44,668.36
| Facility | 50 | $23,988.33 | $34,673.69 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $22,387.21 / $27,542.29
| Facility | | $10,232.93 | $22,387.21 | $27,542.29 |