- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $586.09 / $5,978.35 / $10,499.71
| Facility | | $586.09 | $5,978.35 | $10,499.71 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,618.32 / $6,553.58 / $8,968.95
| Facility | 50 | $2,618.32 | $6,553.58 | $8,968.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,815.49 / $9,232.28 / $20,505.30
| Facility | | $2,815.49 | $9,232.28 | $20,505.30 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $13,156.74 / $19,961.65 / $35,000.99
| Facility | 50 | $13,156.74 | $19,961.65 | $35,000.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,555.66 / $2,206.12 / $5,307.12
| Facility | | $1,555.66 | $2,206.12 | $5,307.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,264.64 / $2,016.92 / $4,178.84
| Facility | | $1,264.64 | $2,016.92 | $4,178.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $919.61 / $4,153.57 / $10,831.00
| Facility | | $919.61 | $4,153.57 | $10,831.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,289.23 / $6,276.82 / $9,630.43
| Facility | 50 | $3,289.23 | $6,276.82 | $9,630.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,577.00 / $10,743.00 / $12,774.00
| Facility | | $5,577.00 | $10,743.00 | $12,774.00 |