- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,749.00 / $2,955.00 / $7,203.00
| Facility | | $1,749.00 | $2,955.00 | $7,203.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,239.67 / $5,097.00 / $28,594.87
| Facility | | $1,239.67 | $5,097.00 | $28,594.87 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $287.61 / $287.61 / $566.23
| Facility | AS | $287.61 | $287.61 | $566.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,633.41 / $20,683.62 / $20,683.62
| Facility | | $20,633.41 | $20,683.62 | $20,683.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $300.00 / $1,823.64 / $8,090.00
| Facility | | $300.00 | $1,823.64 | $8,090.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $5,904.00 / $14,018.00
| Facility | | $55.00 | $5,904.00 | $14,018.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $287.61 / $287.61 / $566.23
| Facility | AS | $287.61 | $287.61 | $566.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,386.00 / $5,904.00 / $13,017.00
| Facility | | $2,386.00 | $5,904.00 | $13,017.00 |