- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $862.69 / $6,976.33 / $16,127.87
| Facility | | $862.69 | $6,976.33 | $16,127.87 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $6,212.00 / $6,212.00 / $13,290.00
| Facility | 50 | $6,212.00 | $6,212.00 | $13,290.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,776.19 / $12,657.83 / $25,424.06
| Facility | | $5,776.19 | $12,657.83 | $25,424.06 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $16,312.75 / $24,750.01 / $43,396.95
| Facility | 50 | $16,312.75 | $24,750.01 | $43,396.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,210.44 / $3,060.79 / $7,304.12
| Facility | | $2,210.44 | $3,060.79 | $7,304.12 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $103.83 / $103.83 / $103.83
| Facility | AS | $103.83 | $103.83 | $103.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,367.62 / $2,897.88 / $5,751.28
| Facility | | $2,367.62 | $2,897.88 | $5,751.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,141.18 / $2,290.98 / $10,707.09
| Facility | | $1,141.18 | $2,290.98 | $10,707.09 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $6,392.04 / $6,392.04 / $6,788.25
| Facility | 50 | $6,392.04 | $6,392.04 | $6,788.25 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $227.67 / $227.67 / $227.67
| Facility | AS | $227.67 | $227.67 | $227.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,457.00 / $9,370.00 / $12,774.00
| Facility | | $5,457.00 | $9,370.00 | $12,774.00 |