- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,173.00 / $11,055.29 / $23,871.46
| Facility | | $1,173.00 | $11,055.29 | $23,871.46 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,847.36 / $15,013.82 / $24,826.36
| Facility | 50 | $5,847.36 | $15,013.82 | $24,826.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,322.00 / $10,965.00 / $30,091.00
| Facility | | $4,322.00 | $10,965.00 | $30,091.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $587.66 / $793.35 / $1,234.10
| Facility | | $587.66 | $793.35 | $1,234.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,833.32 / $3,833.32 / $3,833.32
| Facility | | $3,833.32 | $3,833.32 | $3,833.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,431.00 / $12,296.00 / $17,380.00
| Facility | | $5,431.00 | $12,296.00 | $17,380.00 |