- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,127.89 / $6,384.00 / $11,060.29
| Facility | | $1,127.89 | $6,384.00 | $11,060.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,807.46 / $6,807.46 / $6,906.79
| Facility | | $6,807.46 | $6,807.46 | $6,906.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $606.10 / $6,025.59 / $13,652.00
| Facility | | $606.10 | $6,025.59 | $13,652.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,127.89 / $1,515.80 / $2,582.46
| Facility | | $1,127.89 | $1,515.80 | $2,582.46 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,108.00 / $3,093.00 / $3,900.00
| Facility | 50 | $2,108.00 | $3,093.00 | $3,900.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $196.75 / $288.68 / $364.00
| Facility | AS | $196.75 | $288.68 | $364.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,015.00 / $15,870.00 / $22,780.00
| Facility | | $4,015.00 | $15,870.00 | $22,780.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,897.00 / $17,381.18 / $19,913.50
| Facility | | $5,897.00 | $17,381.18 | $19,913.50 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $242.41 / $1,134.79 / $1,887.52
| Facility | AS | $242.41 | $1,134.79 | $1,887.52 |