- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,671.00 / $4,474.00 / $66,637.94
| Facility | | $1,671.00 | $4,474.00 | $66,637.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,763.75 / $6,598.50 / $10,860.55
| Facility | | $1,763.75 | $6,598.50 | $10,860.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,769.36 / $2,214.73 / $4,466.00
| Facility | | $1,769.36 | $2,214.73 | $4,466.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $482.46 / $934.18 / $934.18
| Facility | AS | $482.46 | $934.18 | $934.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,424.00 / $3,269.00 / $14,572.00
| Facility | | $1,424.00 | $3,269.00 | $14,572.00 |