- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $302.86 / $9,062.00 / $16,467.00
| Facility | | $302.86 | $9,062.00 | $16,467.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,000.51 / $7,889.49 / $13,477.24
| Facility | | $3,000.51 | $7,889.49 | $13,477.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $267.22 / $341.05 / $568.11
| Facility | | $267.22 | $341.05 | $568.11 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $47.28 / $47.75 / $65.76
| Facility | AS | $47.28 | $47.75 | $65.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,298.00 / $17,333.00 / $25,628.00
| Facility | | $6,298.00 | $17,333.00 | $25,628.00 |