- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $3,890.45 / $8,511.38
| Facility | | $1,445.44 | $3,890.45 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $26,915.35 / $44,668.36
| Facility | | $17,378.01 | $26,915.35 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $891.25 / $891.25
| Facility | | $891.25 | $891.25 | $891.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,584.89 / $3,388.44 / $16,595.87
| Facility | | $1,584.89 | $3,388.44 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $3,235.94 / $38,018.94 / $38,018.94
| Facility | 52 | $3,235.94 | $38,018.94 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $407.38 / $4,786.30 / $4,786.30
| Facility | AS | $407.38 | $4,786.30 | $4,786.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,621.81 / $6,165.95 / $10,964.78
| Facility | | $1,621.81 | $6,165.95 | $10,964.78 |