- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,392.25 / $7,120.36 / $19,148.84
| Facility | | $1,392.25 | $7,120.36 | $19,148.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,349.44 / $9,666.52 / $18,698.16
| Facility | | $7,349.44 | $9,666.52 | $18,698.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,905.18 / $6,905.18 / $6,905.18
| Facility | | $6,905.18 | $6,905.18 | $6,905.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $681.17 / $1,260.16 / $8,816.00
| Facility | | $681.17 | $1,260.16 | $8,816.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $191.63 / $2,474.92 / $2,474.92
| Facility | AS | $191.63 | $2,474.92 | $2,474.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,285.00 / $1,720.41 / $8,655.17
| Facility | | $1,285.00 | $1,720.41 | $8,655.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,178.00 / $7,441.00 / $8,816.00
| Facility | | $6,178.00 | $7,441.00 | $8,816.00 |