- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $849.60 / $9,062.00 / $25,804.38
| Facility | | $849.60 | $9,062.00 | $25,804.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,294.50 / $7,122.48 / $12,212.57
| Facility | | $3,294.50 | $7,122.48 | $12,212.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $580.00 / $854.08 / $7,734.27
| Facility | | $580.00 | $854.08 | $7,734.27 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $84.56 / $84.56 / $84.56
| Facility | AS | $84.56 | $84.56 | $84.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $835.09 / $1,044.00 / $1,637.25
| Facility | | $835.09 | $1,044.00 | $1,637.25 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $126.58 / $150.22 / $220.92
| Facility | AS | $126.58 | $150.22 | $220.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,114.00 / $12,456.00 / $22,523.00
| Facility | | $5,114.00 | $12,456.00 | $22,523.00 |