- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $799.07 / $1,615.00 / $28,325.93
| Facility | | $799.07 | $1,615.00 | $28,325.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,397.92 / $4,397.92 / $6,284.08
| Facility | | $4,397.92 | $4,397.92 | $6,284.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $606.10 / $606.10 / $14,565.06
| Facility | | $606.10 | $606.10 | $14,565.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $815.78 / $1,147.76 / $1,723.32
| Facility | | $815.78 | $1,147.76 | $1,723.32 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $142.22 / $198.43 / $258.11
| Facility | AS | $142.22 | $198.43 | $258.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,317.00 / $13,946.00 / $21,454.00
| Facility | | $4,317.00 | $13,946.00 | $21,454.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,934.85 / $42,013.78 / $48,134.90
| Facility | | $3,934.85 | $42,013.78 | $48,134.90 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $191.70 / $2,743.02 / $4,562.51
| Facility | AS | $191.70 | $2,743.02 | $4,562.51 |