- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,241.22 / $10,431.19 / $20,928.72
| Facility | | $4,241.22 | $10,431.19 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.41 / $9,976.87 / $19,298.50
| Facility | | $7,585.41 | $9,976.87 | $19,298.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $224.54 / $568.41 / $4,406.00
| Facility | | $224.54 | $568.41 | $4,406.00 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $876.02 / $876.02 / $876.02
| Facility | 62 | $876.02 | $876.02 | $876.02 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $140.16 / $140.16 / $140.16
| Facility | AS | $140.16 | $140.16 | $140.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $352.28 / $461.58 / $638.00
| Facility | | $352.28 | $461.58 | $638.00 |
- 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 |