- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,401.00 / $18,626.90 / $36,191.74
| Facility | | $3,401.00 | $18,626.90 | $36,191.74 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $3,272.00 / $18,098.88 / $18,098.88
| Facility | 22 | $3,272.00 | $18,098.88 | $18,098.88 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,231.27 / $7,185.00 / $10,371.66
| Facility | 50 | $3,231.27 | $7,185.00 | $10,371.66 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $851.24 / $914.27 / $915.67
| Facility | 54 | $851.24 | $914.27 | $915.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,193.47 / $1,397.85 / $4,456.64
| Professional | | $1,193.47 | $1,397.85 | $4,456.64 |
- Facility/Professional
- Professional
- Modifier
- AS
- Low / Median / High Price
- $56.36 / $417.60 / $3,122.79
| Professional | AS | $56.36 | $417.60 | $3,122.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,126.63 / $1,573.50 / $2,316.66
| Professional | | $1,126.63 | $1,573.50 | $2,316.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.00 / $13,500.00 / $14,094.00
| Facility | | $323.00 | $13,500.00 | $14,094.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,127.39 / $1,715.61 / $2,914.79
| Professional | | $1,127.39 | $1,715.61 | $2,914.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,139.00 / $12,804.00 / $23,031.00
| Facility | | $6,139.00 | $12,804.00 | $23,031.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $671.73 / $1,289.75 / $1,689.21
| Professional | | $671.73 | $1,289.75 | $1,689.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $142.81 / $977.80 / $1,655.61
| Professional | | $142.81 | $977.80 | $1,655.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,368.00 / $20,046.00 / $43,358.00
| Facility | | $7,368.00 | $20,046.00 | $43,358.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,047.88 / $1,486.99 / $2,640.07
| Professional | | $1,047.88 | $1,486.99 | $2,640.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $993.98 / $993.98 / $1,289.75
| Professional | | $993.98 | $993.98 | $1,289.75 |