- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $2,630.27 / $6,606.93
| Facility | | $1,000.00 | $2,630.27 | $6,606.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $13,803.84 / $22,908.68
| Facility | | $8,912.51 | $13,803.84 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $1,584.89 / $11,220.18
| Facility | | $338.84 | $1,584.89 | $11,220.18 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $489.78 / $912.01 / $912.01
| Facility | 62 | $489.78 | $912.01 | $912.01 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $77.62 / $147.91 / $147.91
| Facility | AS | $77.62 | $147.91 | $147.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,949.84 / $7,244.36 / $14,125.38
| Facility | | $1,949.84 | $7,244.36 | $14,125.38 |