- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,248.07 / $11,748.98 / $32,359.37
| Facility | | $5,248.07 | $11,748.98 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $26,302.68 / $26,302.68 / $26,302.68
| Facility | 50 | $26,302.68 | $26,302.68 | $26,302.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $467.74 / $1,659.59 / $5,370.32
| Professional | | $467.74 | $1,659.59 | $5,370.32 |
- Facility/Professional
- Professional
- Modifier
- AS
- Low / Median / High Price
- $165.96 / $331.13 / $954.99
| Professional | AS | $165.96 | $331.13 | $954.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $30,902.95 / $41,686.94
| Facility | | $6,606.93 | $30,902.95 | $41,686.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,318.26 / $2,884.03 / $4,365.16
| Professional | | $1,318.26 | $2,884.03 | $4,365.16 |
- Facility/Professional
- Professional
- Modifier
- AS
- Low / Median / High Price
- $181.97 / $407.38 / $602.56
| Professional | AS | $181.97 | $407.38 | $602.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $25,703.96 / $25,703.96
| Facility | | $851.14 | $25,703.96 | $25,703.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,584.89 / $2,570.40 / $3,890.45
| Professional | | $1,584.89 | $2,570.40 | $3,890.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $21,877.62 / $25,703.96
| Facility | | $20,892.96 | $21,877.62 | $25,703.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,380.38 / $2,754.23 / $6,309.57
| Professional | | $1,380.38 | $2,754.23 | $6,309.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $10,964.78 / $23,988.33
| Facility | | $3,311.31 | $10,964.78 | $23,988.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $295.12 / $2,630.27 / $3,235.94
| Professional | | $295.12 | $2,630.27 | $3,235.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $15,848.93 / $33,884.42
| Facility | | $9,332.54 | $15,848.93 | $33,884.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,202.26 / $2,089.30 / $3,801.89
| Professional | | $1,202.26 | $2,089.30 | $3,801.89 |