- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $388.17 / $3,725.84 / $6,575.00
| Facility | | $388.17 | $3,725.84 | $6,575.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,438.51 / $8,328.96 / $18,388.59
| Facility | | $2,438.51 | $8,328.96 | $18,388.59 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $11,798.61 / $17,901.08 / $31,387.96
| Facility | 50 | $11,798.61 | $17,901.08 | $31,387.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $982.92 / $1,393.91 / $3,353.23
| Facility | | $982.92 | $1,393.91 | $3,353.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $799.04 / $1,274.35 / $2,640.34
| Facility | | $799.04 | $1,274.35 | $2,640.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $551.99 / $818.46 / $7,770.00
| Facility | | $551.99 | $818.46 | $7,770.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,735.00 / $4,974.00 / $8,812.00
| Facility | | $2,735.00 | $4,974.00 | $8,812.00 |