- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,733.00 / $11,787.55 / $51,241.80
| Facility | | $1,733.00 | $11,787.55 | $51,241.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,500.00 / $36,469.56 / $71,345.31
| Facility | | $11,500.00 | $36,469.56 | $71,345.31 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $2,831.07 / $4,708.97 / $4,708.97
| Facility | AS | $2,831.07 | $4,708.97 | $4,708.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $20,746.33
| Facility | | $714.97 | $870.49 | $20,746.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,157.16 / $2,376.37 / $16,819.93
| Facility | | $1,157.16 | $2,376.37 | $16,819.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,531.50 / $2,117.87 / $2,270.63
| Facility | | $1,531.50 | $2,117.87 | $2,270.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,513.47 / $1,548.77 / $18,627.33
| Facility | | $1,513.47 | $1,548.77 | $18,627.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,749.60 / $37,275.87 / $71,345.31
| Facility | | $24,749.60 | $37,275.87 | $71,345.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $5,547.00 / $19,271.00
| Facility | | $3,028.00 | $5,547.00 | $19,271.00 |