- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,220.33 / $11,101.00 / $25,556.53
| Facility | | $1,220.33 | $11,101.00 | $25,556.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,954.95 / $21,054.96 / $27,396.88
| Facility | | $10,954.95 | $21,054.96 | $27,396.88 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $1,458.48 / $2,425.91 / $2,425.91
| Facility | AS | $1,458.48 | $2,425.91 | $2,425.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $10,687.85
| Facility | | $714.97 | $870.49 | $10,687.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $694.69 / $1,407.63 / $9,372.87
| Facility | | $694.69 | $1,407.63 | $9,372.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $919.24 / $1,256.25 / $1,337.99
| Facility | | $919.24 | $1,256.25 | $1,337.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $882.44 / $912.63 / $8,635.77
| Facility | | $882.44 | $912.63 | $8,635.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,146.66 / $20,262.22 / $38,781.51
| Facility | | $13,146.66 | $20,262.22 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $5,547.00 / $19,271.00
| Facility | | $3,028.00 | $5,547.00 | $19,271.00 |