- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,497.88 / $4,044.24 / $11,202.79
| Facility | | $2,497.88 | $4,044.24 | $11,202.79 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $4,106.25 / $9,281.75 / $51,256.35
| Facility | 50 | $4,106.25 | $9,281.75 | $51,256.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,697.00 / $6,078.00 / $18,364.00
| Facility | | $1,697.00 | $6,078.00 | $18,364.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $227.67 / $227.67 / $1,887.52
| Facility | AS | $227.67 | $227.67 | $1,887.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,000.00 / $2,000.00 / $3,000.00
| Facility | | $2,000.00 | $2,000.00 | $3,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912.93 / $1,909.00 / $6,679.00
| Facility | | $912.93 | $1,909.00 | $6,679.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,841.60 / $7,124.95 / $15,565.93
| Facility | | $2,841.60 | $7,124.95 | $15,565.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,386.00 / $7,292.00 / $30,000.00
| Facility | | $2,386.00 | $7,292.00 | $30,000.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $227.67 / $227.67 / $1,887.52
| Facility | AS | $227.67 | $227.67 | $1,887.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,386.00 / $5,904.00 / $13,058.00
| Facility | | $2,386.00 | $5,904.00 | $13,058.00 |