- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,290.29 / $2,894.76 / $7,831.30
| Facility | | $2,290.29 | $2,894.76 | $7,831.30 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,478.77 / $7,478.77 / $7,478.77
| Facility | 50 | $7,478.77 | $7,478.77 | $7,478.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.00 / $6,078.00 / $18,000.00
| Facility | | $2,089.00 | $6,078.00 | $18,000.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $320.52 / $320.52 / $1,887.52
| Facility | AS | $320.52 | $320.52 | $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
- $1,280.58 / $2,070.12 / $6,679.00
| Facility | | $1,280.58 | $2,070.12 | $6,679.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,863.50 / $12,891.27 / $21,792.30
| Facility | | $3,863.50 | $12,891.27 | $21,792.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,386.00 / $7,292.00 / $18,000.00
| Facility | | $2,386.00 | $7,292.00 | $18,000.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $320.52 / $320.52 / $1,887.52
| Facility | AS | $320.52 | $320.52 | $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 |