- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.12 / $1,778.28 / $8,511.38
| Facility | | $295.12 | $1,778.28 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $10,715.19 / $11,220.18
| Facility | | $6,606.93 | $10,715.19 | $11,220.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.15 / $354.81 / $501.19
| Facility | | $269.15 | $354.81 | $501.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $478.63 / $478.63
| Facility | | $34.67 | $478.63 | $478.63 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $47.86 / $47.86 / $47.86
| Facility | AS | $47.86 | $47.86 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $602.56 / $3,162.28
| Facility | | $50.12 | $602.56 | $3,162.28 |