- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,061.49 / $6,770.00 / $11,581.00
| Facility | | $1,061.49 | $6,770.00 | $11,581.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,760.00 / $3,576.00 / $14,996.00
| Facility | | $1,760.00 | $3,576.00 | $14,996.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $653.74 / $839.03 / $1,114.33
| Facility | | $653.74 | $839.03 | $1,114.33 |
- 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
- $836.22 / $836.22 / $836.22
| Facility | | $836.22 | $836.22 | $836.22 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $83.10 / $83.10 / $83.10
| Facility | AS | $83.10 | $83.10 | $83.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,840.00 / $5,625.00 / $7,847.00
| Facility | | $2,840.00 | $5,625.00 | $7,847.00 |