- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,401.78 / $9,062.00 / $18,276.00
| Facility | | $1,401.78 | $9,062.00 | $18,276.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,783.09 / $10,824.58 / $17,240.66
| Facility | | $4,783.09 | $10,824.58 | $17,240.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $890.00 / $890.00 / $1,390.85
| Facility | | $890.00 | $890.00 | $1,390.85 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $137.94 / $137.94 / $137.94
| Facility | AS | $137.94 | $137.94 | $137.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,361.09 / $1,614.00 / $2,707.90
| Facility | | $1,361.09 | $1,614.00 | $2,707.90 |
- Facility/Professional
- Facility
- Modifier
- 80
- Low / Median / High Price
- $296.31 / $330.97 / $518.10
| Facility | 80 | $296.31 | $330.97 | $518.10 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $207.42 / $231.68 / $362.67
| Facility | AS | $207.42 | $231.68 | $362.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $19,526.00 / $24,161.00
| Facility | | $3,028.00 | $19,526.00 | $24,161.00 |