- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,775.00 / $6,756.00 / $14,500.00
| Facility | | $1,775.00 | $6,756.00 | $14,500.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,315.00 / $29,300.94 / $53,822.78
| Facility | | $3,315.00 | $29,300.94 | $53,822.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,380.70 / $1,506.22 / $2,193.25
| Facility | | $1,380.70 | $1,506.22 | $2,193.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,753.40 / $1,753.40 / $1,753.40
| Facility | | $1,753.40 | $1,753.40 | $1,753.40 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $174.63 / $174.63 / $174.63
| Facility | AS | $174.63 | $174.63 | $174.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,070.00 / $8,440.00 / $13,382.00
| Facility | | $4,070.00 | $8,440.00 | $13,382.00 |