- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.99 / $5,248.07 / $12,882.50
| Facility | | $954.99 | $5,248.07 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,548.13 / $7,244.36 / $15,488.17
| Facility | | $3,548.13 | $7,244.36 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $5,623.41 / $5,623.41
| Facility | | $354.81 | $5,623.41 | $5,623.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.69 / $3,715.35 / $4,073.80
| Facility | | $660.69 | $3,715.35 | $4,073.80 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $794.33 / $794.33 / $794.33
| Facility | 22 | $794.33 | $794.33 | $794.33 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $66.07 / $66.07 / $66.07
| Facility | AS | $66.07 | $66.07 | $66.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $16,218.10 / $16,218.10
| Facility | | $54.95 | $16,218.10 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $1,621.81 / $1,621.81 / $1,621.81
| Facility | AS | $1,621.81 | $1,621.81 | $1,621.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.08 / $489.78 / $1,000.00
| Facility | | $363.08 | $489.78 | $1,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $489.78 / $870.96
| Facility | | $371.54 | $489.78 | $870.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,570.40 / $7,762.47 / $15,488.17
| Facility | | $2,570.40 | $7,762.47 | $15,488.17 |