- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,083.97 / $8,355.33 / $19,276.96
| Facility | | $4,083.97 | $8,355.33 | $19,276.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,003.91 / $9,212.06 / $17,819.09
| Facility | | $7,003.91 | $9,212.06 | $17,819.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,802.85 / $1,802.85 / $1,802.85
| Facility | | $1,802.85 | $1,802.85 | $1,802.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,402.10 / $2,453.67 / $6,451.00
| Facility | | $1,402.10 | $2,453.67 | $6,451.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $392.34 / $717.09 / $717.09
| Facility | AS | $392.34 | $717.09 | $717.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,806.41 / $2,817.89 / $4,615.84
| Facility | | $1,806.41 | $2,817.89 | $4,615.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |