- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.88 / $7,225.50 / $10,034.00
| Facility | | $562.88 | $7,225.50 | $10,034.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,355.81 / $2,355.81 / $2,434.34
| Facility | | $2,355.81 | $2,355.81 | $2,434.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $470.38 / $2,938.91 / $5,544.25
| Facility | | $470.38 | $2,938.91 | $5,544.25 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $46.23 / $46.23 / $46.23
| Facility | AS | $46.23 | $46.23 | $46.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $406.76 / $518.20 / $684.05
| Facility | | $406.76 | $518.20 | $684.05 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $65.70 / $72.55 / $80.28
| Facility | AS | $65.70 | $72.55 | $80.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,503.00 / $1,768.00 / $15,251.00
| Facility | | $1,503.00 | $1,768.00 | $15,251.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $2,693.95 / $16,223.75
| Facility | | $55.00 | $2,693.95 | $16,223.75 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $90.63 / $1,537.78 / $1,537.78
| Facility | AS | $90.63 | $1,537.78 | $1,537.78 |