- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.85 / $684.66 / $16,467.00
| Facility | | $251.85 | $684.66 | $16,467.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,200.00 / $1,447.53 / $1,888.00
| Facility | | $1,200.00 | $1,447.53 | $1,888.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $244.19 / $364.46 / $566.59
| Facility | | $244.19 | $364.46 | $566.59 |
- Facility/Professional
- Facility
- Modifier
- 80
- Low / Median / High Price
- $52.11 / $84.60 / $91.06
| Facility | 80 | $52.11 | $84.60 | $91.06 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $34.19 / $59.22 / $63.74
| Facility | AS | $34.19 | $59.22 | $63.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,471.00 / $6,679.00 / $9,084.00
| Facility | | $1,471.00 | $6,679.00 | $9,084.00 |