- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $929.02 / $9,062.00 / $18,276.00
| Facility | | $929.02 | $9,062.00 | $18,276.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,268.85 / $10,148.12 / $18,360.62
| Facility | | $4,268.85 | $10,148.12 | $18,360.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $715.00 / $920.67 / $2,581.96
| Facility | | $715.00 | $920.67 | $2,581.96 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $91.49 / $91.49 / $91.49
| Facility | AS | $91.49 | $91.49 | $91.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $885.88 / $1,050.00 / $1,774.51
| Facility | | $885.88 | $1,050.00 | $1,774.51 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $133.69 / $147.00 / $237.34
| Facility | AS | $133.69 | $147.00 | $237.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $12,456.00 / $19,591.00
| Facility | | $2,155.00 | $12,456.00 | $19,591.00 |