- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,118.74 / $5,128.00 / $22,024.00
| Facility | | $1,118.74 | $5,128.00 | $22,024.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,191.83 / $18,877.79 / $36,111.08
| Facility | | $1,191.83 | $18,877.79 | $36,111.08 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $1,475.38 / $2,454.02 / $2,454.02
| Facility | AS | $1,475.38 | $2,454.02 | $2,454.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,489.65 / $6,489.65 / $10,811.68
| Facility | | $6,489.65 | $6,489.65 | $10,811.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,016.22 / $1,846.15 / $16,890.70
| Facility | | $1,016.22 | $1,846.15 | $16,890.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,186.24 / $1,748.05 / $1,806.32
| Facility | | $1,186.24 | $1,748.05 | $1,806.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,191.83 / $1,232.07 / $3,979.50
| Facility | | $1,191.83 | $1,232.07 | $3,979.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,467.67 / $18,867.00 / $36,111.08
| Facility | | $13,467.67 | $18,867.00 | $36,111.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,912.00 / $3,509.00 / $17,644.00
| Facility | | $2,912.00 | $3,509.00 | $17,644.00 |