- 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
- $9,978.48 / $14,461.21 / $20,132.43
| Facility | | $9,978.48 | $14,461.21 | $20,132.43 |
- 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
- $625.33 / $915.21 / $10,232.00
| Facility | | $625.33 | $915.21 | $10,232.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $145.43 / $268.70 / $268.70
| Facility | AS | $145.43 | $268.70 | $268.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,851.00 / $7,074.00 / $14,139.00
| Facility | | $1,851.00 | $7,074.00 | $14,139.00 |