- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,037.57 / $14,173.66 / $23,598.00
| Facility | | $1,037.57 | $14,173.66 | $23,598.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,044.82 / $10,702.85 / $18,458.66
| Facility | | $3,044.82 | $10,702.85 | $18,458.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,229.55 / $6,229.55 / $8,005.08
| Facility | | $6,229.55 | $6,229.55 | $8,005.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $876.25 / $1,194.85 / $2,036.06
| Facility | | $876.25 | $1,194.85 | $2,036.06 |
- Facility/Professional
- Facility
- Modifier
- 80
- Low / Median / High Price
- $210.40 / $241.31 / $348.82
| Facility | 80 | $210.40 | $241.31 | $348.82 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $147.28 / $166.07 / $244.17
| Facility | AS | $147.28 | $166.07 | $244.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $19,627.00 / $25,620.00
| Facility | | $3,028.00 | $19,627.00 | $25,620.00 |