- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,778.28 / $5,128.61 / $15,135.61
| Facility | | $1,778.28 | $5,128.61 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,238.72 / $6,025.60 / $19,952.62
| Facility | | $2,238.72 | $6,025.60 | $19,952.62 |
- 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
- $1,148.15 / $2,290.87 / $11,481.54
| Facility | | $1,148.15 | $2,290.87 | $11,481.54 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $3,090.30 / $5,623.41 / $5,623.41
| Facility | 52 | $3,090.30 | $5,623.41 | $5,623.41 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $380.19 / $691.83 / $691.83
| Facility | AS | $380.19 | $691.83 | $691.83 |
- 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 |