- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,638.00 / $7,670.00 / $17,682.00
| Facility | | $2,638.00 | $7,670.00 | $17,682.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,969.00 / $9,153.00 / $60,320.00
| Facility | | $2,969.00 | $9,153.00 | $60,320.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,452.15 / $1,584.17 / $2,306.76
| Facility | | $1,452.15 | $1,584.17 | $2,306.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,849.74 / $8,150.36 / $18,173.27
| Facility | | $1,849.74 | $8,150.36 | $18,173.27 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $183.13 / $183.13 / $183.13
| Facility | AS | $183.13 | $183.13 | $183.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,227.00 / $9,067.00 / $14,156.00
| Facility | | $4,227.00 | $9,067.00 | $14,156.00 |