- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,111.07 / $6,524.24 / $17,152.75
| Facility | | $1,111.07 | $6,524.24 | $17,152.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.71 / $518.28 / $35,600.00
| Facility | | $0.71 | $518.28 | $35,600.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $126.27 / $126.27 / $126.27
| Facility | AS | $126.27 | $126.27 | $126.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,067.81 / $1,268.00 / $1,960.26
| Facility | | $1,067.81 | $1,268.00 | $1,960.26 |
- Facility/Professional
- Facility
- Modifier
- 80
- Low / Median / High Price
- $228.60 / $253.60 / $407.34
| Facility | 80 | $228.60 | $253.60 | $407.34 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $163.77 / $177.52 / $279.17
| Facility | AS | $163.77 | $177.52 | $279.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $301.00 / $661.00 / $4,877.00
| Facility | | $301.00 | $661.00 | $4,877.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,413.00 / $8,558.00 / $10,186.56
| Facility | | $5,413.00 | $8,558.00 | $10,186.56 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $247.79 / $546.25 / $546.25
| Facility | AS | $247.79 | $546.25 | $546.25 |