- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,653.00 / $5,463.36 / $13,841.56
| Facility | | $1,653.00 | $5,463.36 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,810.78 / $8,958.04 / $17,327.75
| Facility | | $6,810.78 | $8,958.04 | $17,327.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,387.40 / $1,387.40 / $1,387.40
| Facility | | $1,387.40 | $1,387.40 | $1,387.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $687.47 / $1,230.74 / $6,451.00
| Facility | | $687.47 | $1,230.74 | $6,451.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $194.51 / $497.27 / $497.27
| Facility | AS | $194.51 | $497.27 | $497.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $953.00 / $1,497.33 / $2,148.92
| Facility | | $953.00 | $1,497.33 | $2,148.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,430.87 / $3,318.24 / $7,772.00
| Facility | | $2,430.87 | $3,318.24 | $7,772.00 |