- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,187.72 / $3,338.30 / $16,467.00
| Facility | | $1,187.72 | $3,338.30 | $16,467.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,636.84 / $18,730.91 / $34,857.08
| Facility | | $7,636.84 | $18,730.91 | $34,857.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $715.00 / $1,100.00 / $7,483.66
| Facility | | $715.00 | $1,100.00 | $7,483.66 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $116.84 / $116.84 / $116.84
| Facility | AS | $116.84 | $116.84 | $116.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,159.51 / $1,564.68 / $2,280.10
| Facility | | $1,159.51 | $1,564.68 | $2,280.10 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $182.87 / $251.36 / $304.11
| Facility | AS | $182.87 | $251.36 | $304.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $19,526.00 / $24,161.00
| Facility | | $3,028.00 | $19,526.00 | $24,161.00 |