- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,118.39 / $10,423.64 / $51,374.34
| Facility | | $1,118.39 | $10,423.64 | $51,374.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,241.11 / $1,387.48 / $1,511.68
| Facility | | $1,241.11 | $1,387.48 | $1,511.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,323.89 / $1,323.89 / $1,323.89
| Facility | | $1,323.89 | $1,323.89 | $1,323.89 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $131.19 / $131.19 / $131.19
| Facility | AS | $131.19 | $131.19 | $131.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,454.02 / $31,888.50 / $45,389.82
| Facility | | $21,454.02 | $31,888.50 | $45,389.82 |