- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $857.71 / $6,826.86 / $8,204.36
| Facility | | $857.71 | $6,826.86 | $8,204.36 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $6,949.54 / $8,347.48 / $10,292.32
| Facility | 50 | $6,949.54 | $8,347.48 | $10,292.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,871.56 / $6,843.51 / $9,271.87
| Facility | | $5,871.56 | $6,843.51 | $9,271.87 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,146.22 / $4,836.85 / $6,037.01
| Facility | 50 | $3,146.22 | $4,836.85 | $6,037.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $744.23 / $4,933.00 / $15,071.94
| Facility | | $744.23 | $4,933.00 | $15,071.94 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $6,949.54 / $8,347.48 / $10,292.32
| Facility | 50 | $6,949.54 | $8,347.48 | $10,292.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,500.00 / $7,500.00 / $10,556.00
| Facility | | $2,500.00 | $7,500.00 | $10,556.00 |