- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,752.78 / $10,431.19 / $20,928.72
| Facility | | $3,752.78 | $10,431.19 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,306.43 / $5,664.13 / $10,956.25
| Facility | | $4,306.43 | $5,664.13 | $10,956.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,019.67 / $7,019.67 / $7,019.67
| Facility | | $7,019.67 | $7,019.67 | $7,019.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $600.29 / $1,050.51 / $8,816.00
| Facility | | $600.29 | $1,050.51 | $8,816.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $168.58 / $2,515.96 / $2,515.96
| Facility | AS | $168.58 | $2,515.96 | $2,515.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,137.00 / $1,553.00 / $8,891.58
| Facility | | $1,137.00 | $1,553.00 | $8,891.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,178.00 / $7,441.00 / $8,816.00
| Facility | | $6,178.00 | $7,441.00 | $8,816.00 |