- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,093.74 / $3,115.88 / $7,771.76
| Facility | | $1,093.74 | $3,115.88 | $7,771.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,025.00 / $18,025.00 / $18,025.00
| Facility | | $18,025.00 | $18,025.00 | $18,025.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $606.10 / $606.10 / $14,451.12
| Facility | | $606.10 | $606.10 | $14,451.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $624.00 / $1,148.43 / $1,970.00
| Facility | | $624.00 | $1,148.43 | $1,970.00 |
- Facility/Professional
- Facility
- Modifier
- 80
- Low / Median / High Price
- $124.80 / $262.31 / $494.37
| Facility | 80 | $124.80 | $262.31 | $494.37 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $87.36 / $179.76 / $346.06
| Facility | AS | $87.36 | $179.76 | $346.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,248.00 / $9,541.00 / $14,589.00
| Facility | | $2,248.00 | $9,541.00 | $14,589.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,229.32 / $41,685.12 / $47,758.35
| Facility | | $4,229.32 | $41,685.12 | $47,758.35 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $258.66 / $2,721.56 / $4,526.82
| Facility | AS | $258.66 | $2,721.56 | $4,526.82 |