- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $389.05 / $3,715.35 / $7,762.47
| Facility | | $389.05 | $3,715.35 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $9,772.37 / $23,442.29
| Facility | | $2,951.21 | $9,772.37 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $12,022.64 / $21,379.62 / $54,954.09
| Facility | 50 | $12,022.64 | $21,379.62 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.13 / $1,479.11 / $3,467.37
| Facility | | $1,047.13 | $1,479.11 | $3,467.37 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $851.14 / $851.14 / $851.14
| Facility | 22 | $851.14 | $851.14 | $851.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $1,412.54 / $2,754.23
| Facility | | $1,122.02 | $1,412.54 | $2,754.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $912.01 / $8,317.64
| Facility | | $537.03 | $912.01 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,884.03 / $5,248.07 / $13,489.63
| Facility | | $2,884.03 | $5,248.07 | $13,489.63 |