- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,548.82 / $4,677.35 / $33,884.42
| Facility | | $1,548.82 | $4,677.35 | $33,884.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $245.47 / $676.08 / $2,344.23
| Professional | | $245.47 | $676.08 | $2,344.23 |
- Facility/Professional
- Professional
- Modifier
- AS
- Low / Median / High Price
- $27.54 / $87.10 / $263.03
| Professional | AS | $27.54 | $87.10 | $263.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $42,657.95 / $48,977.88
| Facility | | $10,471.29 | $42,657.95 | $48,977.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $257.04 / $707.95 / $1,071.52
| Professional | | $257.04 | $707.95 | $1,071.52 |
- Facility/Professional
- Professional
- Modifier
- AS
- Low / Median / High Price
- $36.31 / $104.71 / $147.91
| Professional | AS | $36.31 | $104.71 | $147.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $851.14 / $851.14
| Facility | | $851.14 | $851.14 | $851.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $309.03 / $489.78 / $741.31
| Professional | | $309.03 | $489.78 | $741.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $7,943.28 / $10,232.93
| Facility | | $7,762.47 | $7,943.28 | $10,232.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $234.42 / $354.81 / $489.78
| Professional | | $234.42 | $354.81 | $489.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $691.83 / $1,513.56 / $1,737.80
| Facility | | $691.83 | $1,513.56 | $1,737.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $512.86 / $562.34 / $1,862.09
| Professional | | $512.86 | $562.34 | $1,862.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,288.25 / $3,467.37 / $6,760.83
| Facility | | $1,288.25 | $3,467.37 | $6,760.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $229.09 / $398.11 / $691.83
| Professional | | $229.09 | $398.11 | $691.83 |