- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $936.00 / $4,521.00 / $47,588.03
| Facility | | $936.00 | $4,521.00 | $47,588.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,805.25 / $6,640.00 / $10,860.55
| Facility | | $1,805.25 | $6,640.00 | $10,860.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,778.00 / $2,689.23 / $5,009.34
| Facility | | $1,778.00 | $2,689.23 | $5,009.34 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $545.05 / $545.05 / $1,013.95
| Facility | AS | $545.05 | $545.05 | $1,013.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,424.00 / $3,269.00 / $6,416.00
| Facility | | $1,424.00 | $3,269.00 | $6,416.00 |