- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $484.08 / $484.08 / $4,828.00
| Facility | | $484.08 | $484.08 | $4,828.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,597.36 / $6,696.86 / $7,470.80
| Facility | 50 | $5,597.36 | $6,696.86 | $7,470.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,546.69 / $4,519.70 / $9,043.92
| Facility | | $2,546.69 | $4,519.70 | $9,043.92 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,328.39 / $8,084.34 / $14,175.17
| Facility | 50 | $5,328.39 | $8,084.34 | $14,175.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,128.89 / $1,601.74 / $3,853.20
| Facility | | $1,128.89 | $1,601.74 | $3,853.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $918.18 / $1,464.37 / $3,034.01
| Facility | | $918.18 | $1,464.37 | $3,034.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.09 / $911.82 / $5,625.11
| Facility | | $549.09 | $911.82 | $5,625.11 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,889.35 / $3,938.56 / $5,911.66
| Facility | 50 | $1,889.35 | $3,938.56 | $5,911.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,735.00 / $4,974.00 / $8,812.00
| Facility | | $2,735.00 | $4,974.00 | $8,812.00 |