- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,296.00 / $11,522.02 / $86,068.17
| Facility | | $1,296.00 | $11,522.02 | $86,068.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,327.13 / $52,812.50 / $101,024.36
| Facility | | $1,327.13 | $52,812.50 | $101,024.36 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $4,808.13 / $7,997.44 / $7,997.44
| Facility | AS | $4,808.13 | $7,997.44 | $7,997.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $765.00 / $870.49 / $35,234.36
| Facility | | $765.00 | $870.49 | $35,234.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,075.50 / $2,166.36 / $30,899.36
| Facility | | $1,075.50 | $2,166.36 | $30,899.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,397.96 / $1,857.91 / $1,945.68
| Facility | | $1,397.96 | $1,857.91 | $1,945.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,293.32 / $1,327.13 / $20,825.14
| Facility | | $1,293.32 | $1,327.13 | $20,825.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,427.18 / $53,714.89 / $101,024.36
| Facility | | $41,427.18 | $53,714.89 | $101,024.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $5,547.00 / $20,432.00
| Facility | | $3,028.00 | $5,547.00 | $20,432.00 |