- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,346.02 / $7,182.00 / $11,253.01
| Facility | | $1,346.02 | $7,182.00 | $11,253.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,690.60 / $45,433.50 / $80,491.25
| Facility | | $4,690.60 | $45,433.50 | $80,491.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $505.00 / $25,577.84 / $32,867.99
| Facility | | $505.00 | $25,577.84 | $32,867.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $510.33 / $674.83 / $1,191.95
| Facility | | $510.33 | $674.83 | $1,191.95 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $841.02 / $1,068.66 / $1,787.93
| Facility | 50 | $841.02 | $1,068.66 | $1,787.93 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $78.50 / $99.74 / $166.87
| Facility | AS | $78.50 | $99.74 | $166.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,252.00 / $26,399.00 / $70,357.00
| Facility | | $4,252.00 | $26,399.00 | $70,357.00 |