- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,915.42 / $3,437.00 / $7,467.00
| Facility | | $1,915.42 | $3,437.00 | $7,467.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $672.35 / $2,531.19 / $4,140.09
| Facility | | $672.35 | $2,531.19 | $4,140.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $943.56 / $1,271.45 / $9,251.00
| Facility | | $943.56 | $1,271.45 | $9,251.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $251.87 / $251.87 / $2,431.29
| Facility | AS | $251.87 | $251.87 | $2,431.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,408.00 / $7,457.00 / $11,396.00
| Facility | | $5,408.00 | $7,457.00 | $11,396.00 |