- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,599.05 / $9,073.04 / $21,300.67
| Facility | | $1,599.05 | $9,073.04 | $21,300.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,616.00 / $8,111.05 / $17,077.74
| Facility | | $1,616.00 | $8,111.05 | $17,077.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,567.52 / $10,619.00 / $14,963.00
| Facility | | $1,567.52 | $10,619.00 | $14,963.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $155.62 / $155.62 / $155.62
| Facility | AS | $155.62 | $155.62 | $155.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,480.07 / $1,782.23 / $3,037.33
| Facility | | $1,480.07 | $1,782.23 | $3,037.33 |
- Facility/Professional
- Facility
- Modifier
- 80
- Low / Median / High Price
- $321.45 / $369.38 / $572.53
| Facility | 80 | $321.45 | $369.38 | $572.53 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $225.02 / $245.70 / $400.77
| Facility | AS | $225.02 | $245.70 | $400.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,550.00 / $10,257.00 / $16,249.00
| Facility | | $1,550.00 | $10,257.00 | $16,249.00 |