- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $3,742.00 / $18,600.00
| Facility | | $1,000.00 | $3,742.00 | $18,600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,276.54 / $14,509.07 / $22,756.67
| Facility | | $9,276.54 | $14,509.07 | $22,756.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $900.00 / $900.00 / $900.00
| Facility | | $900.00 | $900.00 | $900.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $951.87 / $1,334.36 / $14,327.00
| Facility | | $951.87 | $1,334.36 | $14,327.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $220.18 / $407.22 / $407.22
| Facility | AS | $220.18 | $407.22 | $407.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,917.00 / $13,550.00 / $20,812.48
| Facility | | $3,917.00 | $13,550.00 | $20,812.48 |