- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,443.46 / $7,028.00 / $27,094.58
| Facility | | $1,443.46 | $7,028.00 | $27,094.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,793.00 / $10,734.00 / $31,393.00
| Facility | | $4,793.00 | $10,734.00 | $31,393.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,546.53 / $5,511.50 / $16,534.50
| Facility | | $1,546.53 | $5,511.50 | $16,534.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,260.01 / $1,260.01 / $1,260.01
| Facility | | $1,260.01 | $1,260.01 | $1,260.01 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $783.15 / $783.15 / $783.15
| Facility | 62 | $783.15 | $783.15 | $783.15 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $125.30 / $125.30 / $125.30
| Facility | AS | $125.30 | $125.30 | $125.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $332.00 / $2,180.00 / $15,064.00
| Facility | | $332.00 | $2,180.00 | $15,064.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,030.26 / $1,030.26 / $1,030.26
| Facility | | $1,030.26 | $1,030.26 | $1,030.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,175.78 / $8,376.10 / $13,898.56
| Facility | | $3,175.78 | $8,376.10 | $13,898.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $555.00 / $1,260.01 / $37,776.00
| Facility | | $555.00 | $1,260.01 | $37,776.00 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $783.15 / $783.15 / $783.15
| Facility | 62 | $783.15 | $783.15 | $783.15 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $125.30 / $125.30 / $125.30
| Facility | AS | $125.30 | $125.30 | $125.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,337.00 / $6,700.00 / $16,782.00
| Facility | | $2,337.00 | $6,700.00 | $16,782.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,852.03 / $1,852.03 / $4,822.24
| Facility | | $1,852.03 | $1,852.03 | $4,822.24 |