- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $1,023.29 / $7,585.78
| Facility | | $190.55 | $1,023.29 | $7,585.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $6,918.31 / $15,848.93
| Facility | | $4,466.84 | $6,918.31 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $8,128.31 / $14,454.40 / $37,153.52
| Facility | 50 | $8,128.31 | $14,454.40 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,570.40 / $3,715.35 / $8,912.51
| Facility | | $2,570.40 | $3,715.35 | $8,912.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,884.03 / $3,548.13 / $7,079.46
| Facility | | $2,884.03 | $3,548.13 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.15 / $1,548.82 / $8,912.51
| Facility | | $269.15 | $1,548.82 | $8,912.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,584.89 / $6,760.83 / $10,715.19
| Facility | | $1,584.89 | $6,760.83 | $10,715.19 |