- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,435.54 / $6,962.00 / $50,741.15
| Facility | | $1,435.54 | $6,962.00 | $50,741.15 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $21,360.53 / $21,360.53 / $21,360.53
| Facility | 50 | $21,360.53 | $21,360.53 | $21,360.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,087.00 / $12,297.00 / $64,715.00
| Facility | | $5,087.00 | $12,297.00 | $64,715.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,629.18 / $2,644.00 / $12,319.50
| Facility | | $1,629.18 | $2,644.00 | $12,319.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,300.96 / $1,300.96 / $41,647.00
| Facility | | $1,300.96 | $1,300.96 | $41,647.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $128.96 / $128.96 / $128.96
| Facility | AS | $128.96 | $128.96 | $128.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $332.00 / $1,639.00 / $6,654.34
| Facility | | $332.00 | $1,639.00 | $6,654.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,074.30 / $1,074.30 / $1,074.30
| Facility | | $1,074.30 | $1,074.30 | $1,074.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,432.00 / $15,111.17 / $25,077.73
| Facility | | $7,432.00 | $15,111.17 | $25,077.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $555.00 / $1,300.96 / $54,793.00
| Facility | | $555.00 | $1,300.96 | $54,793.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $128.96 / $128.96 / $128.96
| Facility | AS | $128.96 | $128.96 | $128.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,673.00 / $10,317.00 / $43,741.00
| Facility | | $2,673.00 | $10,317.00 | $43,741.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,370.53 / $1,370.53 / $5,233.04
| Facility | | $1,370.53 | $1,370.53 | $5,233.04 |