- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,280.34 / $9,522.00 / $27,809.00
| Facility | | $4,280.34 | $9,522.00 | $27,809.00 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $25,000.00 / $25,000.00 / $25,000.00
| Facility | 62 | $25,000.00 | $25,000.00 | $25,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,940.29 / $30,779.00 / $40,469.53
| Facility | | $16,940.29 | $30,779.00 | $40,469.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $843.00 / $24,848.51 / $26,750.00
| Facility | | $843.00 | $24,848.51 | $26,750.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,666.00 / $17,007.00 / $18,819.08
| Facility | | $16,666.00 | $17,007.00 | $18,819.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,892.45 / $3,892.45 / $5,820.10
| Facility | | $3,892.45 | $3,892.45 | $5,820.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,943.00 / $11,009.00 / $36,491.00
| Facility | | $6,943.00 | $11,009.00 | $36,491.00 |