- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,506.15 / $3,908.01 / $13,841.56
| Facility | | $1,506.15 | $3,908.01 | $13,841.56 |
- 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
- $335.22 / $620.16 / $1,775.00
| Facility | | $335.22 | $620.16 | $1,775.00 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $583.51 / $1,112.64 / $1,112.64
| Facility | 62 | $583.51 | $1,112.64 | $1,112.64 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $93.36 / $178.02 / $178.02
| Facility | AS | $93.36 | $178.02 | $178.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $444.71 / $855.88 / $1,202.39
| Facility | | $444.71 | $855.88 | $1,202.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,031.00 / $1,775.00 / $4,406.00
| Facility | | $1,031.00 | $1,775.00 | $4,406.00 |