- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $11,100.08 / $23,483.17
| Facility | | $5,463.36 | $11,100.08 | $23,483.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,744.80 / $41,753.08 / $80,763.95
| Facility | | $31,744.80 | $41,753.08 | $80,763.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,673.21 / $2,336.85 / $13,909.00
| Facility | | $1,673.21 | $2,336.85 | $13,909.00 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $4,223.56 / $4,223.56 / $4,223.56
| Facility | 62 | $4,223.56 | $4,223.56 | $4,223.56 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $675.77 / $675.77 / $675.77
| Facility | AS | $675.77 | $675.77 | $675.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,627.84 / $3,265.66 / $4,665.63
| Facility | | $2,627.84 | $3,265.66 | $4,665.63 |
- 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 |