- 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
- $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
- $240.55 / $445.02 / $1,775.00
| Facility | | $240.55 | $445.02 | $1,775.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $66.90 / $128.52 / $128.52
| Facility | AS | $66.90 | $128.52 | $128.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $318.75 / $617.90 / $863.47
| Facility | | $318.75 | $617.90 | $863.47 |
- 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 |