- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,083.97 / $8,477.27 / $19,276.96
| Facility | | $4,083.97 | $8,477.27 | $19,276.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,952.65 / $9,144.62 / $17,688.66
| Facility | | $6,952.65 | $9,144.62 | $17,688.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $757.49 / $1,325.61 / $5,442.22
| Facility | | $757.49 | $1,325.61 | $5,442.22 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $211.91 / $383.00 / $383.00
| Facility | AS | $211.91 | $383.00 | $383.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $961.43 / $1,880.72 / $2,575.80
| Facility | | $961.43 | $1,880.72 | $2,575.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |