- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,241.22 / $10,431.19 / $23,483.17
| Facility | | $4,241.22 | $10,431.19 | $23,483.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,495.51 / $9,858.65 / $19,069.81
| Facility | | $7,495.51 | $9,858.65 | $19,069.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,025.04 / $1,793.82 / $8,163.00
| Facility | | $1,025.04 | $1,793.82 | $8,163.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $287.61 / $520.90 / $520.90
| Facility | AS | $287.61 | $520.90 | $520.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,315.68 / $2,504.34 / $3,497.66
| Facility | | $1,315.68 | $2,504.34 | $3,497.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,777.00 / $8,220.00 / $9,696.00
| Facility | | $6,777.00 | $8,220.00 | $9,696.00 |