- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $566.83 / $5,564.70 / $20,680.40
| Facility | | $566.83 | $5,564.70 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $559.46 / $4,318.66 / $8,788.86
| Facility | | $559.46 | $4,318.66 | $8,788.86 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $228.94 / $380.79 / $380.79
| Facility | AS | $228.94 | $380.79 | $380.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $2,000.00
| Facility | | $714.97 | $870.49 | $2,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $445.60 / $890.94 / $1,471.24
| Facility | | $445.60 | $890.94 | $1,471.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $580.42 / $802.66 / $851.57
| Facility | | $580.42 | $802.66 | $851.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $440.84 / $559.46 / $1,323.75
| Facility | | $440.84 | $559.46 | $1,323.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,509.52 / $4,594.55 / $8,788.86
| Facility | | $3,509.52 | $4,594.55 | $8,788.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,408.00 / $5,794.90 / $10,522.00
| Facility | | $2,408.00 | $5,794.90 | $10,522.00 |