- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $478.63 / $4,168.69 / $8,511.38
| Facility | | $478.63 | $4,168.69 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $21,379.62 / $57,543.99
| Facility | | $20,417.38 | $21,379.62 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.54 / $549.54 / $549.54
| Facility | | $549.54 | $549.54 | $549.54 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $660.69 / $660.69 / $660.69
| Facility | 22 | $660.69 | $660.69 | $660.69 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $346.74 / $346.74 / $346.74
| Facility | 62 | $346.74 | $346.74 | $346.74 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $54.95 / $54.95 / $54.95
| Facility | AS | $54.95 | $54.95 | $54.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $1,513.56 / $2,691.53
| Facility | | $1,348.96 | $1,513.56 | $2,691.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $478.63 / $2,818.38 / $8,317.64
| Facility | | $478.63 | $2,818.38 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $524.81 / $645.65
| Facility | | $524.81 | $524.81 | $645.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $316.23 / $478.63
| Facility | | $190.55 | $316.23 | $478.63 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $446.68 / $446.68 / $446.68
| Facility | 62 | $446.68 | $446.68 | $446.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,290.87 / $4,570.88 / $9,549.93
| Facility | | $2,290.87 | $4,570.88 | $9,549.93 |