- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,615.00 / $1,920.49 / $7,439.00
| Facility | | $1,615.00 | $1,920.49 | $7,439.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $606.10 / $606.10 / $13,652.00
| Facility | | $606.10 | $606.10 | $13,652.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,920.49 / $2,373.71 / $3,808.27
| Facility | | $1,920.49 | $2,373.71 | $3,808.27 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $302.12 / $332.32 / $607.64
| Facility | AS | $302.12 | $332.32 | $607.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,153.00 / $21,463.00 / $29,047.00
| Facility | | $8,153.00 | $21,463.00 | $29,047.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $20,145.59 / $20,145.59
| Facility | | $5,000.00 | $20,145.59 | $20,145.59 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $274.66 / $476.09 / $960.23
| Facility | AS | $274.66 | $476.09 | $960.23 |