- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,014.39 / $3,774.00 / $13,004.00
| Facility | | $1,014.39 | $3,774.00 | $13,004.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,123.94 / $1,879.36 / $7,946.68
| Facility | | $1,123.94 | $1,879.36 | $7,946.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $1,021.08 / $1,058.17
| Facility | | $80.00 | $1,021.08 | $1,058.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,262.82 / $1,262.82 / $1,262.82
| Facility | | $1,262.82 | $1,262.82 | $1,262.82 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $125.34 / $125.34 / $125.34
| Facility | AS | $125.34 | $125.34 | $125.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $5,000.00 / $17,610.04
| Facility | | $55.00 | $5,000.00 | $17,610.04 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $243.02 / $511.52 / $544.66
| Facility | AS | $243.02 | $511.52 | $544.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,080.49 / $1,384.06 / $2,454.73
| Facility | | $1,080.49 | $1,384.06 | $2,454.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,080.49 / $1,392.05 / $2,454.73
| Facility | | $1,080.49 | $1,392.05 | $2,454.73 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $125.34 / $125.34 / $359.40
| Facility | AS | $125.34 | $125.34 | $359.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,600.00 / $7,123.00 / $16,000.00
| Facility | | $2,600.00 | $7,123.00 | $16,000.00 |