- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.51 / $901.00 / $7,439.00
| Facility | | $426.51 | $901.00 | $7,439.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,405.75 / $16,405.75 / $23,441.78
| Facility | | $16,405.75 | $16,405.75 | $23,441.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $606.10 / $606.10 / $18,668.89
| Facility | | $606.10 | $606.10 | $18,668.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.51 / $739.17 / $844.54
| Facility | | $426.51 | $739.17 | $844.54 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $101.24 / $103.48 / $140.91
| Facility | AS | $101.24 | $103.48 | $140.91 |
- 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 / $53,851.54 / $61,697.35
| Facility | | $55.00 | $53,851.54 | $61,697.35 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $100.13 / $3,515.89 / $5,848.03
| Facility | AS | $100.13 | $3,515.89 | $5,848.03 |