- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,778.28 / $5,623.41 / $18,620.87
| Facility | | $1,778.28 | $5,623.41 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,238.72 / $6,025.60 / $20,417.38
| Facility | | $2,238.72 | $6,025.60 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $9,772.37 / $10,715.19
| Facility | | $8,709.64 | $9,772.37 | $10,715.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,096.48 / $2,187.76 / $11,481.54
| Facility | | $1,096.48 | $2,187.76 | $11,481.54 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $2,951.21 / $5,370.32 / $5,370.32
| Facility | 52 | $2,951.21 | $5,370.32 | $5,370.32 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $371.54 / $676.08 / $676.08
| Facility | AS | $371.54 | $676.08 | $676.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,162.28 / $5,495.41 / $18,620.87
| Facility | | $3,162.28 | $5,495.41 | $18,620.87 |