- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $143.41 / $6,115.02 / $15,785.85
| Facility | | $143.41 | $6,115.02 | $15,785.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.17 / $157.07 / $263.14
| Facility | | $87.17 | $157.07 | $263.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114.19 / $142.00 / $236.23
| Facility | | $114.19 | $142.00 | $236.23 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $19.04 / $19.88 / $34.90
| Facility | AS | $19.04 | $19.88 | $34.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $358.00 / $1,221.00 / $3,585.00
| Facility | | $358.00 | $1,221.00 | $3,585.00 |