- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $945.00 / $3,570.00 / $10,893.00
| Facility | | $945.00 | $3,570.00 | $10,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,140.25 / $1,940.87 / $6,720.95
| Facility | | $1,140.25 | $1,940.87 | $6,720.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $756.32 / $2,025.04 / $8,435.66
| Facility | | $756.32 | $2,025.04 | $8,435.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,049.36 / $1,049.36 / $1,088.48
| Facility | | $1,049.36 | $1,049.36 | $1,088.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $900.00 / $2,024.00 / $4,619.00
| Facility | | $900.00 | $2,024.00 | $4,619.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $128.44 / $128.44 / $128.44
| Facility | AS | $128.44 | $128.44 | $128.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $55.00 / $10,362.40
| Facility | | $55.00 | $55.00 | $10,362.40 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $253.85 / $524.39 / $553.74
| Facility | AS | $253.85 | $524.39 | $553.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,032.59 / $1,267.91 / $2,346.44
| Facility | | $1,032.59 | $1,267.91 | $2,346.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,035.41 / $1,290.55 / $2,550.81
| Facility | | $1,035.41 | $1,290.55 | $2,550.81 |
- Facility/Professional
- Facility
- Modifier
- 80
- Low / Median / High Price
- $440.04 / $440.04 / $440.04
| Facility | 80 | $440.04 | $440.04 | $440.04 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $128.44 / $374.04 / $374.04
| Facility | AS | $128.44 | $374.04 | $374.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $385.00 / $1,970.00 / $8,583.00
| Facility | | $385.00 | $1,970.00 | $8,583.00 |