- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,280.73 / $2,950.11 / $16,467.00
| Facility | | $1,280.73 | $2,950.11 | $16,467.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $560.00 / $615.00
| Facility | | $100.00 | $560.00 | $615.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $120.64 / $120.64 / $120.64
| Facility | AS | $120.64 | $120.64 | $120.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,102.00 / $1,312.30 / $2,187.89
| Facility | | $1,102.00 | $1,312.30 | $2,187.89 |
- Facility/Professional
- Facility
- Modifier
- 80
- Low / Median / High Price
- $229.20 / $262.45 / $400.37
| Facility | 80 | $229.20 | $262.45 | $400.37 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $160.44 / $181.44 / $280.26
| Facility | AS | $160.44 | $181.44 | $280.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $454.00 / $6,074.00 / $8,818.00
| Facility | | $454.00 | $6,074.00 | $8,818.00 |