- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,615.00 / $2,548.56 / $7,439.00
| Facility | | $1,615.00 | $2,548.56 | $7,439.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,250.78 / $3,287.63 / $5,602.60
| Facility | | $2,250.78 | $3,287.63 | $5,602.60 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $382.63 / $460.27 / $784.36
| Facility | AS | $382.63 | $460.27 | $784.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,172.00 / $4,086.00 / $7,778.00
| Facility | | $1,172.00 | $4,086.00 | $7,778.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $42,441.82 / $51,191.32
| Facility | | $55.00 | $42,441.82 | $51,191.32 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $536.41 / $587.49 / $1,138.00
| Facility | AS | $536.41 | $587.49 | $1,138.00 |