- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,426.00 / $6,193.00 / $12,474.00
| Facility | | $1,426.00 | $6,193.00 | $12,474.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $11,851.00 / $26,582.19
| Facility | | $8,639.91 | $11,851.00 | $26,582.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,273.81 / $4,716.00 / $13,512.01
| Facility | | $1,273.81 | $4,716.00 | $13,512.01 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $125.45 / $125.45 / $125.45
| Facility | AS | $125.45 | $125.45 | $125.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,521.26 / $2,521.26 / $2,521.26
| Facility | | $2,521.26 | $2,521.26 | $2,521.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,991.18 / $29,721.61 / $70,324.63
| Facility | | $21,991.18 | $29,721.61 | $70,324.63 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $23,306.31 / $23,306.31 / $23,306.31
| Facility | 22 | $23,306.31 | $23,306.31 | $23,306.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,499.00 / $7,188.00 / $12,658.00
| Facility | | $1,499.00 | $7,188.00 | $12,658.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,033.00 / $1,033.00 / $1,033.00
| Facility | | $1,033.00 | $1,033.00 | $1,033.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,273.81 / $4,340.00 / $13,051.00
| Facility | | $1,273.81 | $4,340.00 | $13,051.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $125.45 / $125.45 / $125.45
| Facility | AS | $125.45 | $125.45 | $125.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,043.67 / $1,093.76 / $1,093.76
| Facility | | $1,043.67 | $1,093.76 | $1,093.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,803.00 / $4,563.00 / $7,156.00
| Facility | | $1,803.00 | $4,563.00 | $7,156.00 |