- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,020.00 / $6,503.56 / $18,937.53
| Facility | | $1,020.00 | $6,503.56 | $18,937.53 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,029.00 / $7,029.00 / $7,029.00
| Facility | 50 | $7,029.00 | $7,029.00 | $7,029.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,850.00 / $16,455.00 / $26,582.19
| Facility | | $8,850.00 | $16,455.00 | $26,582.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $850.72 / $850.72 / $850.72
| Facility | | $850.72 | $850.72 | $850.72 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $84.26 / $84.26 / $84.26
| Facility | AS | $84.26 | $84.26 | $84.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,098.88 / $14,833.03 / $30,788.61
| Facility | | $4,098.88 | $14,833.03 | $30,788.61 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $12,830.38 / $12,830.38 / $12,830.38
| Facility | 50 | $12,830.38 | $12,830.38 | $12,830.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,020.00 / $6,503.56 / $19,795.37
| Facility | | $1,020.00 | $6,503.56 | $19,795.37 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,029.00 / $7,029.00 / $7,029.00
| Facility | 50 | $7,029.00 | $7,029.00 | $7,029.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $850.72 / $850.72 / $850.72
| Facility | | $850.72 | $850.72 | $850.72 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $84.26 / $84.26 / $84.26
| Facility | AS | $84.26 | $84.26 | $84.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $667.93 / $727.28 / $727.28
| Facility | | $667.93 | $727.28 | $727.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,468.00 / $4,563.00 / $9,631.00
| Facility | | $2,468.00 | $4,563.00 | $9,631.00 |