- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,128.61 / $14,791.08 / $23,442.29
| Facility | | $5,128.61 | $14,791.08 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,398.83 / $30,199.52 / $57,543.99
| Facility | | $2,398.83 | $30,199.52 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $891.25 / $3,235.94
| Facility | | $891.25 | $891.25 | $3,235.94 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $3,890.45 / $3,890.45 / $3,890.45
| Facility | 22 | $3,890.45 | $3,890.45 | $3,890.45 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $2,570.40 / $2,570.40 / $2,570.40
| Facility | 52 | $2,570.40 | $2,570.40 | $2,570.40 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $323.59 / $323.59 / $323.59
| Facility | AS | $323.59 | $323.59 | $323.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3,311.31 / $3,311.31 / $4,365.16
| Professional | | $3,311.31 | $3,311.31 | $4,365.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,862.09 / $2,630.27 / $4,466.84
| Facility | | $1,862.09 | $2,630.27 | $4,466.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $22,387.21 / $41,686.94
| Facility | | $8,317.64 | $22,387.21 | $41,686.94 |