- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,044.67 / $1,530.98 / $12,615.00
| Facility | | $1,044.67 | $1,530.98 | $12,615.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $606.10 / $606.10 / $24,184.21
| Facility | | $606.10 | $606.10 | $24,184.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,044.67 / $1,339.60 / $1,844.25
| Facility | | $1,044.67 | $1,339.60 | $1,844.25 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $183.16 / $187.54 / $345.16
| Facility | AS | $183.16 | $187.54 | $345.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,015.00 / $15,545.00 / $22,780.00
| Facility | | $4,015.00 | $15,545.00 | $22,780.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $69,760.81 / $79,924.50
| Facility | | $55.00 | $69,760.81 | $79,924.50 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $234.05 / $4,554.58 / $7,575.71
| Facility | AS | $234.05 | $4,554.58 | $7,575.71 |