- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $372.01 / $3,742.52 / $12,765.09
| Facility | | $372.01 | $3,742.52 | $12,765.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,828.40 / $10,296.48 / $19,916.72
| Facility | | $7,828.40 | $10,296.48 | $19,916.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.85 / $592.99 / $6,313.44
| Facility | | $338.85 | $592.99 | $6,313.44 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $590.07 / $1,126.85 / $1,126.85
| Facility | 62 | $590.07 | $1,126.85 | $1,126.85 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $94.41 / $180.30 / $180.30
| Facility | AS | $94.41 | $180.30 | $180.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $449.99 / $866.81 / $1,219.08
| Facility | | $449.99 | $866.81 | $1,219.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,178.00 / $7,441.00 / $8,816.00
| Facility | | $6,178.00 | $7,441.00 | $8,816.00 |