- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,068.30 / $4,745.00 / $7,963.00
| Facility | | $2,068.30 | $4,745.00 | $7,963.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $944.35 / $3,688.52 / $5,814.97
| Facility | | $944.35 | $3,688.52 | $5,814.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,016.16 / $1,384.13 / $9,251.00
| Facility | | $1,016.16 | $1,384.13 | $9,251.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $271.67 / $271.67 / $2,575.09
| Facility | AS | $271.67 | $271.67 | $2,575.09 |
- 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 |