- 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
- $6,619.76 / $8,706.79 / $16,841.75
| Facility | | $6,619.76 | $8,706.79 | $16,841.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $312.02 / $577.24 / $1,242.00
| Facility | | $312.02 | $577.24 | $1,242.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $86.91 / $163.65 / $163.65
| Facility | AS | $86.91 | $163.65 | $163.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $414.55 / $786.76 / $1,107.50
| Facility | | $414.55 | $786.76 | $1,107.50 |
- 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 |