- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $582.84 / $6,167.06 / $41,748.32
| Facility | | $582.84 | $6,167.06 | $41,748.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $530.04 / $530.04 / $24,901.50
| Facility | | $530.04 | $530.04 | $24,901.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $374.99 / $549.00 / $884.98
| Facility | | $374.99 | $549.00 | $884.98 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $70.09 / $77.42 / $118.65
| Facility | AS | $70.09 | $77.42 | $118.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,216.00 / $28,743.00 / $59,455.00
| Facility | | $16,216.00 | $28,743.00 | $59,455.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,446.32 / $71,829.88 / $82,295.00
| Facility | | $1,446.32 | $71,829.88 | $82,295.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $86.57 / $4,689.67 / $7,800.40
| Facility | AS | $86.57 | $4,689.67 | $7,800.40 |