- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,172.85 / $7,944.78 / $17,381.63
| Facility | | $1,172.85 | $7,944.78 | $17,381.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,566.00 / $20,566.00 / $20,566.00
| Facility | | $20,566.00 | $20,566.00 | $20,566.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $606.10 / $606.10 / $18,362.00
| Facility | | $606.10 | $606.10 | $18,362.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,172.85 / $1,690.11 / $2,575.98
| Facility | | $1,172.85 | $1,690.11 | $2,575.98 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $209.58 / $274.68 / $387.51
| Facility | AS | $209.58 | $274.68 | $387.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,237.00 / $20,562.00 / $28,286.00
| Facility | | $9,237.00 | $20,562.00 | $28,286.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $47,793.87 / $54,757.10
| Facility | | $55.00 | $47,793.87 | $54,757.10 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $270.89 / $3,120.39 / $5,190.20
| Facility | AS | $270.89 | $3,120.39 | $5,190.20 |