- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,022.84 / $10,255.42 / $23,483.17
| Facility | | $2,022.84 | $10,255.42 | $23,483.17 |
- 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
- $21,054.93 / $21,054.93 / $21,054.93
| Facility | | $21,054.93 | $21,054.93 | $21,054.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,395.78 / $2,454.12 / $13,361.40
| Facility | | $1,395.78 | $2,454.12 | $13,361.40 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $2,441.19 / $47,165.25 / $47,165.25
| Facility | 62 | $2,441.19 | $47,165.25 | $47,165.25 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $390.59 / $7,546.44 / $7,546.44
| Facility | AS | $390.59 | $7,546.44 | $7,546.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,809.08 / $3,789.45 / $26,367.49
| Facility | | $2,809.08 | $3,789.45 | $26,367.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,777.00 / $8,220.00 / $9,696.00
| Facility | | $6,777.00 | $8,220.00 | $9,696.00 |