- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,183.33 / $6,393.85 / $9,047.14
| Facility | | $1,183.33 | $6,393.85 | $9,047.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,516.19 / $6,570.74 / $12,097.16
| Facility | | $2,516.19 | $6,570.74 | $12,097.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $505.00 / $725.82 / $7,488.61
| Facility | | $505.00 | $725.82 | $7,488.61 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $71.98 / $71.98 / $71.98
| Facility | AS | $71.98 | $71.98 | $71.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $715.68 / $921.82 / $1,398.56
| Facility | | $715.68 | $921.82 | $1,398.56 |
- Facility/Professional
- Facility
- Modifier
- 80
- Low / Median / High Price
- $158.44 / $193.60 / $271.41
| Facility | 80 | $158.44 | $193.60 | $271.41 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $110.91 / $135.52 / $189.99
| Facility | AS | $110.91 | $135.52 | $189.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $12,456.00 / $19,591.00
| Facility | | $2,155.00 | $12,456.00 | $19,591.00 |