- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,480.50 / $11,061.34 / $22,143.08
| Facility | | $1,480.50 | $11,061.34 | $22,143.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,543.00 / $9,601.10 / $18,266.91
| Facility | | $3,543.00 | $9,601.10 | $18,266.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $375.00 / $1,280.00 / $3,770.59
| Facility | | $375.00 | $1,280.00 | $3,770.59 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $63.83 / $63.83 / $63.83
| Facility | AS | $63.83 | $63.83 | $63.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $577.10 / $705.00 / $1,133.84
| Facility | | $577.10 | $705.00 | $1,133.84 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $979.59 / $1,102.50 / $1,540.80
| Facility | 50 | $979.59 | $1,102.50 | $1,540.80 |
- Facility/Professional
- Facility
- Modifier
- 80
- Low / Median / High Price
- $130.61 / $147.00 / $205.44
| Facility | 80 | $130.61 | $147.00 | $205.44 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $91.43 / $101.05 / $143.81
| Facility | AS | $91.43 | $101.05 | $143.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,250.00 / $17,146.00 / $24,161.00
| Facility | | $1,250.00 | $17,146.00 | $24,161.00 |