- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $723.05 / $723.05 / $13,592.81
| Facility | | $723.05 | $723.05 | $13,592.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,375.73 / $12,197.67 / $25,424.06
| Facility | | $3,375.73 | $12,197.67 | $25,424.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,759.42 / $2,496.37 / $6,005.35
| Facility | | $1,759.42 | $2,496.37 | $6,005.35 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $81.69 / $81.69 / $81.69
| Facility | AS | $81.69 | $81.69 | $81.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,599.48 / $2,282.28 / $4,728.63
| Facility | | $1,599.48 | $2,282.28 | $4,728.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $731.51 / $1,266.05 / $7,642.28
| Facility | | $731.51 | $1,266.05 | $7,642.28 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $186.87 / $186.87 / $186.87
| Facility | AS | $186.87 | $186.87 | $186.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,457.00 / $9,370.00 / $12,774.00
| Facility | | $5,457.00 | $9,370.00 | $12,774.00 |