- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.55 / $9,062.00 / $47,158.85
| Facility | | $177.55 | $9,062.00 | $47,158.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134.91 / $177.55 / $306.17
| Facility | | $134.91 | $177.55 | $306.17 |
- Facility/Professional
- Facility
- Modifier
- 80
- Low / Median / High Price
- $33.00 / $33.75 / $51.70
| Facility | 80 | $33.00 | $33.75 | $51.70 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $20.44 / $23.63 / $33.06
| Facility | AS | $20.44 | $23.63 | $33.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $659.00 / $6,107.00 / $8,818.00
| Facility | | $659.00 | $6,107.00 | $8,818.00 |