- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,288.25 / $2,754.23 / $8,912.51
| Facility | | $1,288.25 | $2,754.23 | $8,912.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $13,489.63 / $21,877.62
| Facility | | $8,709.64 | $13,489.63 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $891.25 / $891.25
| Facility | | $891.25 | $891.25 | $891.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $2,630.27 / $18,620.87
| Facility | | $1,445.44 | $2,630.27 | $18,620.87 |
- 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
- $3,235.94 / $11,748.98 / $20,892.96
| Facility | | $3,235.94 | $11,748.98 | $20,892.96 |