- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,073.24 / $5,359.00 / $11,344.64
| Facility | | $1,073.24 | $5,359.00 | $11,344.64 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,491.34 / $7,307.00 / $10,536.07
| Facility | 50 | $2,491.34 | $7,307.00 | $10,536.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,989.00 / $9,720.00 / $23,148.00
| Facility | | $4,989.00 | $9,720.00 | $23,148.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,072.08 / $1,990.00 / $8,917.50
| Facility | | $1,072.08 | $1,990.00 | $8,917.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $861.14 / $861.14 / $5,246.94
| Facility | | $861.14 | $861.14 | $5,246.94 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $85.49 / $85.49 / $85.49
| Facility | AS | $85.49 | $85.49 | $85.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $332.00 / $1,130.00 / $2,018.21
| Facility | | $332.00 | $1,130.00 | $2,018.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,179.59 / $9,975.87 / $31,054.71
| Facility | | $1,179.59 | $9,975.87 | $31,054.71 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,149.26 / $5,230.68 / $14,812.23
| Facility | 50 | $1,149.26 | $5,230.68 | $14,812.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $597.00 / $861.14 / $23,610.00
| Facility | | $597.00 | $861.14 | $23,610.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $85.49 / $85.49 / $85.49
| Facility | AS | $85.49 | $85.49 | $85.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,444.00 / $6,762.00 / $16,403.00
| Facility | | $2,444.00 | $6,762.00 | $16,403.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $816.39 / $816.39 / $2,969.35
| Facility | | $816.39 | $816.39 | $2,969.35 |