- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $977.24 / $5,370.32 / $9,549.93
| Facility | | $977.24 | $5,370.32 | $9,549.93 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,344.23 / $8,912.51 / $8,912.51
| Facility | 50 | $2,344.23 | $8,912.51 | $8,912.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $6,606.93 / $57,543.99
| Facility | | $6,456.54 | $6,606.93 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,548.13 / $12,882.50 / $22,908.68
| Facility | | $3,548.13 | $12,882.50 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $42,657.95 / $42,657.95 / $42,657.95
| Facility | 50 | $42,657.95 | $42,657.95 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $977.24 / $4,570.88 / $8,511.38
| Facility | | $977.24 | $4,570.88 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,344.23 / $8,912.51 / $8,912.51
| Facility | 50 | $2,344.23 | $8,912.51 | $8,912.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602.56 / $602.56 / $812.83
| Facility | | $602.56 | $602.56 | $812.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $467.74 / $891.25
| Facility | | $309.03 | $467.74 | $891.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $3,548.13 / $16,595.87
| Facility | | $1,348.96 | $3,548.13 | $16,595.87 |