- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.12 / $6,165.95 / $8,128.31
| Facility | | $295.12 | $6,165.95 | $8,128.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,235.94 / $6,025.60 / $15,135.61
| Facility | | $3,235.94 | $6,025.60 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $4,786.30 / $8,709.64 / $21,877.62
| Facility | 50 | $4,786.30 | $8,709.64 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $1,174.90 / $2,818.38
| Facility | | $831.76 | $1,174.90 | $2,818.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912.01 / $1,122.02 / $2,187.76
| Facility | | $912.01 | $1,122.02 | $2,187.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $724.44 / $6,760.83
| Facility | | $426.58 | $724.44 | $6,760.83 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $6,456.54 / $6,456.54 / $6,456.54
| Facility | 50 | $6,456.54 | $6,456.54 | $6,456.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,884.03 / $5,248.07 / $8,912.51
| Facility | | $2,884.03 | $5,248.07 | $8,912.51 |