- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $320.70 / $1,363.37 / $4,828.00
| Facility | | $320.70 | $1,363.37 | $4,828.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,559.11 / $7,388.25 / $12,389.06
| Facility | | $3,559.11 | $7,388.25 | $12,389.06 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,949.16 / $12,060.61 / $21,147.21
| Facility | 50 | $7,949.16 | $12,060.61 | $21,147.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,347.16 / $4,746.68 / $11,418.79
| Facility | | $3,347.16 | $4,746.68 | $11,418.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,721.00 / $4,339.60 / $8,991.18
| Facility | | $2,721.00 | $4,339.60 | $8,991.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.61 / $2,156.15 / $6,927.00
| Facility | | $512.61 | $2,156.15 | $6,927.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,293.00 / $6,652.00 / $9,810.00
| Facility | | $3,293.00 | $6,652.00 | $9,810.00 |