- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $758.58 / $2,454.71 / $6,606.93
| Facility | | $758.58 | $2,454.71 | $6,606.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $14,791.08 / $23,988.33
| Facility | | $9,120.11 | $14,791.08 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.84 / $524.81 / $2,511.89
| Facility | | $281.84 | $524.81 | $2,511.89 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $549.54 / $1,023.29 / $1,023.29
| Facility | 62 | $549.54 | $1,023.29 | $1,023.29 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $87.10 / $165.96 / $165.96
| Facility | AS | $87.10 | $165.96 | $165.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138.04 / $630.96 / $1,659.59
| Facility | | $138.04 | $630.96 | $1,659.59 |