- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,969.20 / $4,698.22 / $4,933.00
| Facility | | $1,969.20 | $4,698.22 | $4,933.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,174.79 / $8,375.14 / $11,409.24
| Facility | | $7,174.79 | $8,375.14 | $11,409.24 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $4,534.70 / $5,951.86 / $7,735.77
| Facility | 50 | $4,534.70 | $5,951.86 | $7,735.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,643.82 / $4,698.22 / $4,933.00
| Facility | | $1,643.82 | $4,698.22 | $4,933.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,906.00 / $4,645.00 / $6,327.00
| Facility | | $1,906.00 | $4,645.00 | $6,327.00 |