- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,346.00 / $5,946.00 / $18,600.00
| Facility | | $1,346.00 | $5,946.00 | $18,600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,301.33 / $17,825.49 / $28,268.11
| Facility | | $11,301.33 | $17,825.49 | $28,268.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,321.00 / $2,321.00 / $8,274.00
| Facility | | $2,321.00 | $2,321.00 | $8,274.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,699.67 / $2,410.10 / $9,200.00
| Facility | | $1,699.67 | $2,410.10 | $9,200.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $792.48 / $792.48 / $792.48
| Facility | AS | $792.48 | $792.48 | $792.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,153.31 / $8,414.00 / $14,587.03
| Facility | | $2,153.31 | $8,414.00 | $14,587.03 |