- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $357.53 / $3,621.00 / $10,686.00
| Facility | | $357.53 | $3,621.00 | $10,686.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,574.00 / $8,170.00 / $16,083.00
| Facility | | $4,574.00 | $8,170.00 | $16,083.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $455.07 / $455.07 / $13,477.50
| Facility | | $455.07 | $455.07 | $13,477.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $368.90 / $368.90 / $14,648.00
| Facility | | $368.90 | $368.90 | $14,648.00 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $225.79 / $225.79 / $225.79
| Facility | 62 | $225.79 | $225.79 | $225.79 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $36.13 / $36.13 / $36.13
| Facility | AS | $36.13 | $36.13 | $36.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $332.00 / $515.00 / $908.25
| Facility | | $332.00 | $515.00 | $908.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $296.25 / $296.25 / $296.25
| Facility | | $296.25 | $296.25 | $296.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.02 / $575.02 / $3,976.05
| Facility | | $575.02 | $575.02 | $3,976.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $368.90 / $555.00 / $37,776.00
| Facility | | $368.90 | $555.00 | $37,776.00 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $225.79 / $225.79 / $225.79
| Facility | 62 | $225.79 | $225.79 | $225.79 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $36.13 / $36.13 / $36.13
| Facility | AS | $36.13 | $36.13 | $36.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,341.00 / $6,700.00 / $16,782.00
| Facility | | $2,341.00 | $6,700.00 | $16,782.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $534.64 / $534.64 / $1,665.09
| Facility | | $534.64 | $534.64 | $1,665.09 |