- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,999.82 / $9,846.20 / $24,521.14
| Facility | | $2,999.82 | $9,846.20 | $24,521.14 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $5,633.46 / $5,633.46 / $5,633.46
| Facility | 22 | $5,633.46 | $5,633.46 | $5,633.46 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,311.55 / $10,374.76 / $21,931.36
| Facility | 50 | $5,311.55 | $10,374.76 | $21,931.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,851.07 / $11,754.00 / $30,357.00
| Facility | | $2,851.07 | $11,754.00 | $30,357.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,979.00 / $12,759.00 / $23,031.00
| Facility | | $5,979.00 | $12,759.00 | $23,031.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,072.00 / $12,923.00 / $19,866.00
| Facility | | $4,072.00 | $12,923.00 | $19,866.00 |