- 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
- $11,766.83 / $15,476.59 / $29,936.73
| Facility | | $11,766.83 | $15,476.59 | $29,936.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $437.02 / $764.79 / $1,775.00
| Facility | | $437.02 | $764.79 | $1,775.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $121.63 / $230.56 / $230.56
| Facility | AS | $121.63 | $230.56 | $230.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $570.64 / $972.59 / $1,556.95
| Facility | | $570.64 | $972.59 | $1,556.95 |
- 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 |