- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $566.04 / $1,166.60 / $11,112.36
| Facility | | $566.04 | $1,166.60 | $11,112.36 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $12,133.83 / $12,133.83 / $12,133.83
| Facility | 50 | $12,133.83 | $12,133.83 | $12,133.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $566.04 / $771.59 / $1,145.54
| Facility | | $566.04 | $771.59 | $1,145.54 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $824.73 / $1,117.50 / $2,012.35
| Facility | 50 | $824.73 | $1,117.50 | $2,012.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,353.00 / $6,885.00 / $9,616.00
| Facility | | $2,353.00 | $6,885.00 | $9,616.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,013.28 / $4,013.28 / $26,542.00
| Facility | | $4,013.28 | $4,013.28 | $26,542.00 |