- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,110.42 / $6,470.00 / $23,000.00
| Facility | | $2,110.42 | $6,470.00 | $23,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,292.31 / $34,332.32 / $70,064.83
| Facility | | $2,292.31 | $34,332.32 | $70,064.83 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $233.60 / $765.24 / $765.24
| Facility | AS | $233.60 | $765.24 | $765.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $765.00 / $870.49
| Facility | | $714.97 | $765.00 | $870.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,607.55 / $3,352.88 / $5,049.37
| Facility | | $1,607.55 | $3,352.88 | $5,049.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,417.53 / $3,237.44 / $3,360.72
| Facility | | $2,417.53 | $3,237.44 | $3,360.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,239.17 / $2,292.31 / $23,065.03
| Facility | | $2,239.17 | $2,292.31 | $23,065.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,726.72 / $36,627.79 / $70,064.83
| Facility | | $26,726.72 | $36,627.79 | $70,064.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,700.00 / $7,614.00 / $24,236.00
| Facility | | $3,700.00 | $7,614.00 | $24,236.00 |