- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,060.90 / $1,060.90 / $26,219.05
| Facility | | $1,060.90 | $1,060.90 | $26,219.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,038.82 / $15,157.95 / $32,738.65
| Facility | | $5,038.82 | $15,157.95 | $32,738.65 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $21,005.98 / $31,870.66 / $55,882.39
| Facility | 50 | $21,005.98 | $31,870.66 | $55,882.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,687.66 / $3,811.44 / $9,168.94
| Facility | | $2,687.66 | $3,811.44 | $9,168.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,184.88 / $3,484.57 / $7,219.64
| Facility | | $2,184.88 | $3,484.57 | $7,219.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,681.33 / $2,233.64 / $11,680.00
| Facility | | $1,681.33 | $2,233.64 | $11,680.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,940.00 / $8,689.00 / $11,531.00
| Facility | | $3,940.00 | $8,689.00 | $11,531.00 |