- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.09 / $6,349.00 / $49,552.30
| Facility | | $707.09 | $6,349.00 | $49,552.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,500.00 / $49,418.94 / $96,678.15
| Facility | | $11,500.00 | $49,418.94 | $96,678.15 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $4,689.67 / $7,800.40 / $7,800.40
| Facility | AS | $4,689.67 | $7,800.40 | $7,800.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $625.25 / $761.81 / $34,366.26
| Facility | | $625.25 | $761.81 | $34,366.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $416.46 / $841.83 / $30,138.08
| Facility | | $416.46 | $841.83 | $30,138.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $556.77 / $742.36 / $782.56
| Facility | | $556.77 | $742.36 | $782.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $515.97 / $533.78 / $31,498.73
| Facility | | $515.97 | $533.78 | $31,498.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,878.56 / $50,540.44 / $96,678.15
| Facility | | $36,878.56 | $50,540.44 | $96,678.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,252.00 / $12,133.00 / $35,976.00
| Facility | | $4,252.00 | $12,133.00 | $35,976.00 |