- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,570.40 / $4,265.80 / $8,511.38
| Facility | | $2,570.40 | $4,265.80 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,570.40 / $7,413.10 / $44,668.36
| Facility | | $2,570.40 | $7,413.10 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $7,943.28 / $7,943.28 / $7,943.28
| Facility | AS | $7,943.28 | $7,943.28 | $7,943.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $20,892.96 / $20,892.96
| Facility | | $20,417.38 | $20,892.96 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $302.00 / $2,454.71 / $8,511.38
| Facility | | $302.00 | $2,454.71 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,570.40 / $6,918.31 / $15,488.17
| Facility | | $2,570.40 | $6,918.31 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,905.46 / $1,949.84 / $42,657.95
| Facility | | $1,905.46 | $1,949.84 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,630.27 / $7,413.10 / $44,668.36
| Facility | | $2,630.27 | $7,413.10 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $7,943.28 / $7,943.28 / $7,943.28
| Facility | AS | $7,943.28 | $7,943.28 | $7,943.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,570.40 / $7,244.36 / $23,442.29
| Facility | | $2,570.40 | $7,244.36 | $23,442.29 |