- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $800.71 / $8,960.00 / $15,508.49
| Facility | | $800.71 | $8,960.00 | $15,508.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,068.89 / $7,726.16 / $13,640.30
| Facility | | $3,068.89 | $7,726.16 | $13,640.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $815.00 / $2,831.77 / $3,638.88
| Facility | | $815.00 | $2,831.77 | $3,638.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $546.00 / $780.23 / $1,296.35
| Facility | | $546.00 | $780.23 | $1,296.35 |
- Facility/Professional
- Facility
- Modifier
- 80
- Low / Median / High Price
- $109.20 / $165.26 / $219.47
| Facility | 80 | $109.20 | $165.26 | $219.47 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $76.44 / $115.68 / $153.63
| Facility | AS | $76.44 | $115.68 | $153.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $12,798.00 / $19,665.00
| Facility | | $2,155.00 | $12,798.00 | $19,665.00 |