- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $715.49 / $7,237.99 / $16,467.00
| Facility | | $715.49 | $7,237.99 | $16,467.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,644.93 / $9,828.62 / $18,314.23
| Facility | | $2,644.93 | $9,828.62 | $18,314.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $711.92 / $976.50 / $1,513.03
| Facility | | $711.92 | $976.50 | $1,513.03 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $109.85 / $157.44 / $223.30
| Facility | AS | $109.85 | $157.44 | $223.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,114.00 / $12,271.00 / $22,523.00
| Facility | | $5,114.00 | $12,271.00 | $22,523.00 |