- 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
- $854.75 / $1,549.70 / $2,851.07
| Facility | | $854.75 | $1,549.70 | $2,851.07 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $237.65 / $448.09 / $448.09
| Facility | AS | $237.65 | $448.09 | $448.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,131.95 / $2,154.29 / $3,026.29
| Facility | | $1,131.95 | $2,154.29 | $3,026.29 |
- 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 |