- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,031.72 / $4,197.42 / $10,088.29
| Facility | | $1,031.72 | $4,197.42 | $10,088.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,736.14 / $5,736.14 / $8,196.23
| Facility | | $5,736.14 | $5,736.14 | $8,196.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $606.10 / $606.10 / $15,462.83
| Facility | | $606.10 | $606.10 | $15,462.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,031.72 / $1,293.03 / $2,054.69
| Facility | | $1,031.72 | $1,293.03 | $2,054.69 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $179.20 / $181.02 / $326.44
| Facility | AS | $179.20 | $181.02 | $326.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,015.00 / $15,545.00 / $22,780.00
| Facility | | $4,015.00 | $15,545.00 | $22,780.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,938.02 / $44,603.48 / $51,101.90
| Facility | | $5,938.02 | $44,603.48 | $51,101.90 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $240.01 / $2,912.10 / $4,843.72
| Facility | AS | $240.01 | $2,912.10 | $4,843.72 |