- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,174.90 / $5,888.44 / $15,488.17
| Facility | | $1,174.90 | $5,888.44 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,630.78 / $7,585.78 / $36,307.81
| Facility | | $3,630.78 | $7,585.78 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.99 / $2,818.38 / $19,952.62
| Facility | | $954.99 | $2,818.38 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $1,737.80 / $1,737.80 / $1,737.80
| Facility | 22 | $1,737.80 | $1,737.80 | $1,737.80 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $144.54 / $144.54 / $144.54
| Facility | AS | $144.54 | $144.54 | $144.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,715.35 / $12,022.64 / $37,153.52
| Facility | | $3,715.35 | $12,022.64 | $37,153.52 |