- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,241.22 / $11,100.08 / $68,080.00
| Facility | | $4,241.22 | $11,100.08 | $68,080.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,735.08 / $44,370.85 / $85,827.55
| Facility | | $33,735.08 | $44,370.85 | $85,827.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,351.14 / $3,460.34 / $13,909.00
| Facility | | $2,351.14 | $3,460.34 | $13,909.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $949.32 / $949.32 / $949.32
| Facility | AS | $949.32 | $949.32 | $949.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,698.71 / $4,596.45 / $6,189.25
| Facility | | $3,698.71 | $4,596.45 | $6,189.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,054.00 / $4,317.00 / $13,909.00
| Facility | | $3,054.00 | $4,317.00 | $13,909.00 |