- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,541.51 / $8,355.33 / $19,276.96
| Facility | | $1,541.51 | $8,355.33 | $19,276.96 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,156.83 / $9,950.02 / $13,708.46
| Facility | 50 | $1,156.83 | $9,950.02 | $13,708.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,593.13 / $9,907.12 / $19,318.16
| Facility | | $7,593.13 | $9,907.12 | $19,318.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,539.00 / $1,539.00 / $1,539.00
| Facility | | $1,539.00 | $1,539.00 | $1,539.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $424.75 / $1,176.11 / $7,276.00
| Facility | | $424.75 | $1,176.11 | $7,276.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $4,790.05 / $4,790.05 / $7,639.80
| Facility | 50 | $4,790.05 | $4,790.05 | $7,639.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $852.30 / $1,384.17 / $1,949.40
| Facility | | $852.30 | $1,384.17 | $1,949.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |