- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $628.04 / $2,163.81 / $8,145.07
| Facility | | $628.04 | $2,163.81 | $8,145.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $108.00 / $147.00 / $9,363.00
| Facility | | $108.00 | $147.00 | $9,363.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.00 / $30.00 / $30.00
| Facility | | $30.00 | $30.00 | $30.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $11,297.16 / $11,575.34
| Facility | | $5,000.00 | $11,297.16 | $11,575.34 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $1,081.98 / $2,139.91 / $2,139.91
| Facility | 62 | $1,081.98 | $2,139.91 | $2,139.91 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $173.12 / $342.39 / $342.39
| Facility | AS | $173.12 | $342.39 | $342.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,964.00 / $8,273.00 / $23,619.00
| Facility | | $3,964.00 | $8,273.00 | $23,619.00 |