- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.42 / $2,818.38 / $8,912.51
| Facility | | $234.42 | $2,818.38 | $8,912.51 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $630.96 / $4,168.69 / $4,168.69
| Facility | 50 | $630.96 | $4,168.69 | $4,168.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,513.56 / $3,715.35 / $9,549.93
| Facility | | $1,513.56 | $3,715.35 | $9,549.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $645.65 / $1,698.24
| Facility | | $50.12 | $645.65 | $1,698.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $1,949.84 / $4,677.35
| Facility | | $562.34 | $1,949.84 | $4,677.35 |