- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,258.93 / $7,943.28 / $37,153.52
| Facility | | $1,258.93 | $7,943.28 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $9,772.37 / $9,772.37 / $9,772.37
| Facility | 22 | $9,772.37 | $9,772.37 | $9,772.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,258.93 / $1,621.81 / $2,089.30
| Facility | | $1,258.93 | $1,621.81 | $2,089.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $2,089.30 / $2,089.30
| Facility | | $34.67 | $2,089.30 | $2,089.30 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $2,511.89 / $2,511.89 / $2,511.89
| Facility | 22 | $2,511.89 | $2,511.89 | $2,511.89 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $208.93 / $208.93 / $208.93
| Facility | AS | $208.93 | $208.93 | $208.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $41,686.94 / $52,480.75
| Facility | | $22,387.21 | $41,686.94 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $23,442.29 / $23,442.29 / $23,442.29
| Facility | 22 | $23,442.29 | $23,442.29 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $4,466.84 / $29,512.09
| Facility | | $4,466.84 | $4,466.84 | $29,512.09 |