- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,039.79 / $6,548.00 / $20,144.64
| Facility | | $1,039.79 | $6,548.00 | $20,144.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,702.23 / $33,878.48 / $62,507.33
| Facility | | $3,702.23 | $33,878.48 | $62,507.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,982.30 / $21,982.30 / $28,247.66
| Facility | | $21,982.30 | $21,982.30 | $28,247.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $819.34 / $1,155.32 / $2,020.00
| Facility | | $819.34 | $1,155.32 | $2,020.00 |
- Facility/Professional
- Facility
- Modifier
- 80
- Low / Median / High Price
- $172.20 / $286.52 / $404.00
| Facility | 80 | $172.20 | $286.52 | $404.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $120.54 / $200.56 / $282.80
| Facility | AS | $120.54 | $200.56 | $282.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,044.00 / $24,825.00 / $83,234.00
| Facility | | $10,044.00 | $24,825.00 | $83,234.00 |