- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $969.00 / $3,730.00 / $14,316.00
| Facility | | $969.00 | $3,730.00 | $14,316.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,327.73 / $28,919.13 / $58,609.44
| Facility | | $14,327.73 | $28,919.13 | $58,609.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,601.23 / $20,623.50 / $57,955.53
| Facility | | $1,601.23 | $20,623.50 | $57,955.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $812.21 / $37,725.76 / $37,725.76
| Facility | | $812.21 | $37,725.76 | $37,725.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $960.09 / $3,603.00 / $6,702.00
| Facility | | $960.09 | $3,603.00 | $6,702.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $95.44 / $95.44 / $95.44
| Facility | AS | $95.44 | $95.44 | $95.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $20,000.00 / $102,689.75
| Facility | | $55.00 | $20,000.00 | $102,689.75 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $185.04 / $9,733.53 / $9,733.53
| Facility | AS | $185.04 | $9,733.53 | $9,733.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.29 / $1,004.61 / $1,837.80
| Facility | | $794.29 | $1,004.61 | $1,837.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $795.67 / $1,007.14 / $1,884.73
| Facility | | $795.67 | $1,007.14 | $1,884.73 |
- Facility/Professional
- Facility
- Modifier
- 80
- Low / Median / High Price
- $320.04 / $320.04 / $320.04
| Facility | 80 | $320.04 | $320.04 | $320.04 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $95.44 / $95.44 / $272.04
| Facility | AS | $95.44 | $95.44 | $272.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,600.00 / $8,590.00 / $44,686.00
| Facility | | $4,600.00 | $8,590.00 | $44,686.00 |