- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,157.56 / $8,422.00 / $15,398.14
| Facility | | $1,157.56 | $8,422.00 | $15,398.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,969.00 / $9,153.00 / $60,320.00
| Facility | | $2,969.00 | $9,153.00 | $60,320.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.82 / $917.42 / $1,218.45
| Facility | | $714.82 | $917.42 | $1,218.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $909.46 / $909.46 / $909.46
| Facility | | $909.46 | $909.46 | $909.46 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $90.07 / $90.07 / $90.07
| Facility | AS | $90.07 | $90.07 | $90.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,873.00 / $10,529.00 / $15,469.00
| Facility | | $4,873.00 | $10,529.00 | $15,469.00 |