- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,506.15 / $5,463.36 / $13,841.56
| Facility | | $1,506.15 | $5,463.36 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $898.23 / $1,181.41 / $2,285.23
| Facility | | $898.23 | $1,181.41 | $2,285.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93.81 / $184.29 / $1,242.00
| Facility | | $93.81 | $184.29 | $1,242.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $40.57 / $40.57 / $40.57
| Facility | AS | $40.57 | $40.57 | $40.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $195.05 / $252.62 / $364.98
| Facility | | $195.05 | $252.62 | $364.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,031.00 / $1,775.00 / $4,406.00
| Facility | | $1,031.00 | $1,775.00 | $4,406.00 |