- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,368.05 / $8,583.00 / $22,716.74
| Facility | | $1,368.05 | $8,583.00 | $22,716.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,492.80 / $9,678.92 / $17,877.47
| Facility | | $4,492.80 | $9,678.92 | $17,877.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $580.00 / $749.18 / $7,377.67
| Facility | | $580.00 | $749.18 | $7,377.67 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $74.45 / $74.45 / $74.45
| Facility | AS | $74.45 | $74.45 | $74.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $729.06 / $927.44 / $1,434.41
| Facility | | $729.06 | $927.44 | $1,434.41 |
- Facility/Professional
- Facility
- Modifier
- 80
- Low / Median / High Price
- $153.96 / $192.20 / $273.31
| Facility | 80 | $153.96 | $192.20 | $273.31 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $107.77 / $134.54 / $191.32
| Facility | AS | $107.77 | $134.54 | $191.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $19,526.00 / $24,161.00
| Facility | | $3,028.00 | $19,526.00 | $24,161.00 |