- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,609.08 / $14,013.75 / $34,285.54
| Facility | | $3,609.08 | $14,013.75 | $34,285.54 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $9,994.60 / $24,672.01 / $37,853.55
| Facility | 22 | $9,994.60 | $24,672.01 | $37,853.55 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,267.31 / $27,143.20 / $94,775.46
| Facility | 50 | $5,267.31 | $27,143.20 | $94,775.46 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $894.28 / $996.16 / $996.16
| Facility | 54 | $894.28 | $996.16 | $996.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $828.51 / $1,409.17 / $4,237.00
| Professional | | $828.51 | $1,409.17 | $4,237.00 |
- Facility/Professional
- Professional
- Modifier
- AS
- Low / Median / High Price
- $168.45 / $332.40 / $882.37
| Professional | AS | $168.45 | $332.40 | $882.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $290.33 / $1,916.70 / $2,363.11
| Professional | | $290.33 | $1,916.70 | $2,363.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,709.48 / $19,599.00 / $81,222.78
| Facility | | $5,709.48 | $19,599.00 | $81,222.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,404.31 / $1,637.34 / $5,237.83
| Professional | | $1,404.31 | $1,637.34 | $5,237.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,531.00 / $27,840.00 / $43,981.00
| Facility | | $13,531.00 | $27,840.00 | $43,981.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,284.56 / $2,053.09 / $3,271.31
| Professional | | $1,284.56 | $2,053.09 | $3,271.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,453.24 / $1,453.24 / $1,453.24
| Facility | | $1,453.24 | $1,453.24 | $1,453.24 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $1,006.58 / $1,006.58 / $1,006.58
| Facility | 54 | $1,006.58 | $1,006.58 | $1,006.58 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $143.80 / $143.80 / $143.80
| Facility | AS | $143.80 | $143.80 | $143.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,237.54 / $1,657.56 / $2,719.89
| Professional | | $1,237.54 | $1,657.56 | $2,719.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,617.15 / $2,051.44 / $3,463.45
| Professional | | $1,617.15 | $2,051.44 | $3,463.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,794.46 / $25,142.48 / $48,218.16
| Facility | | $7,794.46 | $25,142.48 | $48,218.16 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $10,973.85 / $10,973.85 / $68,699.74
| Facility | 22 | $10,973.85 | $10,973.85 | $68,699.74 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $10,245.40 / $31,587.89 / $99,814.38
| Facility | 50 | $10,245.40 | $31,587.89 | $99,814.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,518.89 / $1,716.35 / $2,225.17
| Professional | | $1,518.89 | $1,716.35 | $2,225.17 |
- Facility/Professional
- Professional
- Modifier
- AS
- Low / Median / High Price
- $206.56 / $227.23 / $291.32
| Professional | AS | $206.56 | $227.23 | $291.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,774.79 / $18,670.00 / $53,440.34
| Facility | | $5,774.79 | $18,670.00 | $53,440.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,404.31 / $1,572.83 / $3,168.20
| Professional | | $1,404.31 | $1,572.83 | $3,168.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.14 / $14,853.77 / $34,969.65
| Facility | | $3,308.14 | $14,853.77 | $34,969.65 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $3,665.00 / $24,672.01 / $37,853.55
| Facility | 22 | $3,665.00 | $24,672.01 | $37,853.55 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,090.50 / $17,805.20 / $55,704.43
| Facility | 50 | $7,090.50 | $17,805.20 | $55,704.43 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $996.16 / $996.16 / $996.16
| Facility | 54 | $996.16 | $996.16 | $996.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,074.52 / $1,623.88 / $3,531.76
| Professional | | $1,074.52 | $1,623.88 | $3,531.76 |
- Facility/Professional
- Professional
- Modifier
- AS
- Low / Median / High Price
- $168.45 / $328.20 / $789.07
| Professional | AS | $168.45 | $328.20 | $789.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,794.66 / $1,904.60 / $3,005.00
| Professional | | $1,794.66 | $1,904.60 | $3,005.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,453.24 / $1,453.24 / $1,453.24
| Facility | | $1,453.24 | $1,453.24 | $1,453.24 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $1,006.58 / $1,006.58 / $1,006.58
| Facility | 54 | $1,006.58 | $1,006.58 | $1,006.58 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $143.80 / $143.80 / $143.80
| Facility | AS | $143.80 | $143.80 | $143.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,241.93 / $1,711.76 / $2,838.96
| Professional | | $1,241.93 | $1,711.76 | $2,838.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,253.41 / $1,253.41 / $2,045.07
| Facility | | $1,253.41 | $1,253.41 | $2,045.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,210.83 / $1,263.77 / $2,045.07
| Professional | | $1,210.83 | $1,263.77 | $2,045.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,340.00 / $6,573.00 / $14,299.00
| Facility | | $3,340.00 | $6,573.00 | $14,299.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,308.80 / $1,717.01 / $2,714.23
| Professional | | $1,308.80 | $1,717.01 | $2,714.23 |