- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $998.28 / $6,923.99 / $10,561.00
| Facility | | $998.28 | $6,923.99 | $10,561.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,684.54 / $3,684.54 / $5,264.75
| Facility | | $3,684.54 | $3,684.54 | $5,264.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $606.10 / $606.10 / $18,362.00
| Facility | | $606.10 | $606.10 | $18,362.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $998.28 / $1,397.58 / $1,956.60
| Facility | | $998.28 | $1,397.58 | $1,956.60 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $191.40 / $195.66 / $329.83
| Facility | AS | $191.40 | $195.66 | $329.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,087.00 / $13,946.00 / $21,454.00
| Facility | | $6,087.00 | $13,946.00 | $21,454.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,400.00 / $17,381.18 / $19,913.50
| Facility | | $1,400.00 | $17,381.18 | $19,913.50 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $230.71 / $1,134.79 / $1,887.52
| Facility | AS | $230.71 | $1,134.79 | $1,887.52 |