- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,311.00 / $6,214.00 / $10,957.40
| Facility | | $2,311.00 | $6,214.00 | $10,957.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,275.00 / $2,326.00 / $4,528.00
| Facility | | $1,275.00 | $2,326.00 | $4,528.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $112,206.36 / $115,030.23
| Facility | | $55.00 | $112,206.36 | $115,030.23 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $7,273.03 / $14,083.43 / $14,083.43
| Facility | 62 | $7,273.03 | $14,083.43 | $14,083.43 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $1,163.68 / $2,253.35 / $2,253.35
| Facility | AS | $1,163.68 | $2,253.35 | $2,253.35 |
- 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 |