- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,290.02 / $3,641.50 / $7,467.00
| Facility | | $1,290.02 | $3,641.50 | $7,467.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $672.35 / $2,613.46 / $4,140.09
| Facility | | $672.35 | $2,613.46 | $4,140.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $635.48 / $847.50 / $9,251.00
| Facility | | $635.48 | $847.50 | $9,251.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $169.67 / $169.67 / $2,425.91
| Facility | AS | $169.67 | $169.67 | $2,425.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,279.00 / $7,341.00 / $11,396.00
| Facility | | $5,279.00 | $7,341.00 | $11,396.00 |