- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,392.00 / $4,944.00 / $18,600.00
| Facility | | $1,392.00 | $4,944.00 | $18,600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,444.76 / $15,084.81 / $23,838.74
| Facility | | $9,444.76 | $15,084.81 | $23,838.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,578.05 / $22,578.05 / $22,578.05
| Facility | | $22,578.05 | $22,578.05 | $22,578.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,683.12 / $2,373.27 / $14,587.03
| Facility | | $1,683.12 | $2,373.27 | $14,587.03 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $398.38 / $7,529.59 / $7,529.59
| Facility | AS | $398.38 | $7,529.59 | $7,529.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,209.00 / $9,200.00 / $15,388.63
| Facility | | $2,209.00 | $9,200.00 | $15,388.63 |