- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,358.64 / $11,517.33 / $35,410.50
| Facility | | $4,358.64 | $11,517.33 | $35,410.50 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $5,172.85 / $18,648.05 / $29,808.73
| Facility | 22 | $5,172.85 | $18,648.05 | $29,808.73 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $10,328.00 / $49,785.95 / $63,099.72
| Facility | 50 | $10,328.00 | $49,785.95 | $63,099.72 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $895.19 / $997.25 / $997.25
| Facility | 54 | $895.19 | $997.25 | $997.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $836.81 / $1,490.92 / $5,265.00
| Professional | | $836.81 | $1,490.92 | $5,265.00 |
- Facility/Professional
- Professional
- Modifier
- AS
- Low / Median / High Price
- $165.02 / $322.45 / $836.81
| Professional | AS | $165.02 | $322.45 | $836.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,213.34 / $1,974.97 / $2,183.96
| Professional | | $1,213.34 | $1,974.97 | $2,183.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,525.12 / $19,599.00 / $68,287.73
| Facility | | $6,525.12 | $19,599.00 | $68,287.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,406.28 / $1,637.77 / $4,902.05
| Professional | | $1,406.28 | $1,637.77 | $4,902.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,531.00 / $27,840.00 / $43,981.00
| Facility | | $13,531.00 | $27,840.00 | $43,981.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,286.15 / $2,055.13 / $3,049.58
| Professional | | $1,286.15 | $2,055.13 | $3,049.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,455.37 / $1,455.37 / $1,455.37
| Facility | | $1,455.37 | $1,455.37 | $1,455.37 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $1,008.15 / $1,008.15 / $1,008.15
| Facility | 54 | $1,008.15 | $1,008.15 | $1,008.15 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $900.13 / $900.13 / $900.13
| Facility | 62 | $900.13 | $900.13 | $900.13 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $144.02 / $144.02 / $144.02
| Facility | AS | $144.02 | $144.02 | $144.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,239.39 / $1,650.70 / $2,722.62
| Professional | | $1,239.39 | $1,650.70 | $2,722.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,619.12 / $2,054.38 / $3,098.31
| Professional | | $1,619.12 | $2,054.38 | $3,098.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,576.70 / $24,373.80 / $55,650.66
| Facility | | $7,576.70 | $24,373.80 | $55,650.66 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $20,853.22 / $23,192.92 / $37,066.14
| Facility | 22 | $20,853.22 | $23,192.92 | $37,066.14 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $8,745.12 / $21,032.17 / $158,763.66
| Facility | 50 | $8,745.12 | $21,032.17 | $158,763.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,521.25 / $1,686.46 / $2,135.78
| Professional | | $1,521.25 | $1,686.46 | $2,135.78 |
- Facility/Professional
- Professional
- Modifier
- AS
- Low / Median / High Price
- $203.32 / $227.58 / $265.82
| Professional | AS | $203.32 | $227.58 | $265.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,599.76 / $18,670.00 / $44,929.75
| Facility | | $6,599.76 | $18,670.00 | $44,929.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,406.28 / $1,575.03 / $2,984.24
| Professional | | $1,406.28 | $1,575.03 | $2,984.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,457.39 / $12,287.58 / $36,185.61
| Facility | | $3,457.39 | $12,287.58 | $36,185.61 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $5,172.85 / $18,648.05 / $29,808.73
| Facility | 22 | $5,172.85 | $18,648.05 | $29,808.73 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $10,328.00 / $34,321.24 / $63,099.72
| Facility | 50 | $10,328.00 | $34,321.24 | $63,099.72 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $997.25 / $997.25 / $997.25
| Facility | 54 | $997.25 | $997.25 | $997.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $550.85 / $1,682.20 / $3,594.00
| Professional | | $550.85 | $1,682.20 | $3,594.00 |
- Facility/Professional
- Professional
- Modifier
- AS
- Low / Median / High Price
- $165.02 / $312.37 / $799.27
| Professional | AS | $165.02 | $312.37 | $799.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,812.60 / $1,820.03 / $2,814.50
| Professional | | $1,812.60 | $1,820.03 | $2,814.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,455.37 / $1,455.37 / $1,455.37
| Facility | | $1,455.37 | $1,455.37 | $1,455.37 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $1,008.15 / $1,008.15 / $1,008.15
| Facility | 54 | $1,008.15 | $1,008.15 | $1,008.15 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $900.13 / $900.13 / $900.13
| Facility | 62 | $900.13 | $900.13 | $900.13 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $144.02 / $144.02 / $144.02
| Facility | AS | $144.02 | $144.02 | $144.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,239.39 / $1,659.52 / $2,790.01
| Professional | | $1,239.39 | $1,659.52 | $2,790.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,254.66 / $1,254.66 / $1,913.72
| Facility | | $1,254.66 | $1,254.66 | $1,913.72 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $1,807.11 / $1,807.11 / $1,807.11
| Facility | 62 | $1,807.11 | $1,807.11 | $1,807.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,212.03 / $1,265.06 / $1,913.72
| Professional | | $1,212.03 | $1,265.06 | $1,913.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,340.00 / $6,573.00 / $14,299.00
| Facility | | $3,340.00 | $6,573.00 | $14,299.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,285.99 / $1,689.78 / $2,652.21
| Professional | | $1,285.99 | $1,689.78 | $2,652.21 |