- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,456.00 / $5,915.00 / $14,100.00
| Facility | | $1,456.00 | $5,915.00 | $14,100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,426.66 / $29,430.37 / $46,509.20
| Facility | | $18,426.66 | $29,430.37 | $46,509.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,663.49 / $13,663.49 / $13,663.49
| Facility | | $13,663.49 | $13,663.49 | $13,663.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $882.61 / $1,226.21 / $14,063.00
| Facility | | $882.61 | $1,226.21 | $14,063.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $215.63 / $4,556.66 / $4,556.66
| Facility | AS | $215.63 | $4,556.66 | $4,556.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,851.00 / $7,307.00 / $14,587.03
| Facility | | $1,851.00 | $7,307.00 | $14,587.03 |