- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $683.65 / $1,485.37 / $16,467.00
| Facility | | $683.65 | $1,485.37 | $16,467.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,737.00 / $4,773.22 / $8,747.39
| Facility | | $1,737.00 | $4,773.22 | $8,747.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,473.92 / $2,473.92 / $3,179.03
| Facility | | $2,473.92 | $2,473.92 | $3,179.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $552.91 / $687.19 / $1,272.65
| Facility | | $552.91 | $687.19 | $1,272.65 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $957.09 / $988.52 / $1,908.98
| Facility | 50 | $957.09 | $988.52 | $1,908.98 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $89.33 / $92.26 / $178.17
| Facility | AS | $89.33 | $92.26 | $178.17 |
- 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 |