- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $324.87 / $2,266.00 / $7,197.00
| Facility | | $324.87 | $2,266.00 | $7,197.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $260.63 / $260.63 / $260.63
| Facility | | $260.63 | $260.63 | $260.63 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $159.84 / $159.84 / $159.84
| Facility | 62 | $159.84 | $159.84 | $159.84 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $25.58 / $25.58 / $25.58
| Facility | AS | $25.58 | $25.58 | $25.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $989.18 / $989.18 / $989.18
| Facility | | $989.18 | $989.18 | $989.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $480.00 / $2,326.00 / $8,017.00
| Facility | | $480.00 | $2,326.00 | $8,017.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $260.63 / $260.63 / $260.63
| Facility | | $260.63 | $260.63 | $260.63 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $159.84 / $159.84 / $159.84
| Facility | 62 | $159.84 | $159.84 | $159.84 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $25.58 / $25.58 / $25.58
| Facility | AS | $25.58 | $25.58 | $25.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $209.31 / $222.84 / $222.84
| Facility | | $209.31 | $222.84 | $222.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.00 / $650.00 / $4,430.00
| Facility | | $162.00 | $650.00 | $4,430.00 |