- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $372.01 / $5,463.36 / $13,841.56
| Facility | | $372.01 | $5,463.36 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,828.40 / $10,296.48 / $19,916.72
| Facility | | $7,828.40 | $10,296.48 | $19,916.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.66 / $104.38 / $317.91
| Facility | | $60.66 | $104.38 | $317.91 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $16.85 / $31.79 / $31.79
| Facility | AS | $16.85 | $31.79 | $31.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $121.09 / $152.84 / $213.78
| Facility | | $121.09 | $152.84 | $213.78 |
- 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 |