- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,311.00 / $5,116.16 / $10,234.00
| Facility | | $2,311.00 | $5,116.16 | $10,234.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,275.00 / $2,326.00 / $4,372.00
| Facility | | $1,275.00 | $2,326.00 | $4,372.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $74,025.84 / $75,831.00
| Facility | | $55.00 | $74,025.84 | $75,831.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $767.02 / $1,482.95 / $1,482.95
| Facility | AS | $767.02 | $1,482.95 | $1,482.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,233.00 / $2,665.00 / $4,918.00
| Facility | | $1,233.00 | $2,665.00 | $4,918.00 |