- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $4,227.50 / $25,491.60
| Facility | | $100.00 | $4,227.50 | $25,491.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,669.00 / $20,162.41 / $35,151.03
| Facility | | $3,669.00 | $20,162.41 | $35,151.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,346.11 / $1,346.11 / $1,346.11
| Facility | | $1,346.11 | $1,346.11 | $1,346.11 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $133.62 / $133.62 / $133.62
| Facility | AS | $133.62 | $133.62 | $133.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,155.00 / $11,155.00 / $11,155.00
| Facility | | $11,155.00 | $11,155.00 | $11,155.00 |