- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,359.66 / $6,768.00 / $22,411.76
| Facility | | $1,359.66 | $6,768.00 | $22,411.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $11,851.00 / $28,970.26
| Facility | | $8,639.91 | $11,851.00 | $28,970.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,902.53 / $24,097.87 / $55,812.83
| Facility | | $6,902.53 | $24,097.87 | $55,812.83 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $6,805.02 / $6,805.02 / $6,805.02
| Facility | 22 | $6,805.02 | $6,805.02 | $6,805.02 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $41,448.62 / $41,448.62 / $41,448.62
| Facility | 50 | $41,448.62 | $41,448.62 | $41,448.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,359.66 / $6,029.00 / $19,471.43
| Facility | | $1,359.66 | $6,029.00 | $19,471.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,092.04 / $1,092.04 / $1,477.77
| Facility | | $1,092.04 | $1,092.04 | $1,477.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $3,914.00 / $7,000.00
| Facility | | $2,332.00 | $3,914.00 | $7,000.00 |