- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,545.00 / $3,908.01 / $13,841.56
| Facility | | $1,545.00 | $3,908.01 | $13,841.56 |
- 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
- $5,266.26 / $5,266.26 / $5,266.26
| Facility | | $5,266.26 | $5,266.26 | $5,266.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $574.10 / $1,033.38 / $8,632.00
| Facility | | $574.10 | $1,033.38 | $8,632.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $160.83 / $1,887.52 / $1,887.52
| Facility | AS | $160.83 | $1,887.52 | $1,887.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $686.38 / $1,433.96 / $6,616.19
| Facility | | $686.38 | $1,433.96 | $6,616.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,341.00 / $8,816.00 / $10,575.11
| Facility | | $5,341.00 | $8,816.00 | $10,575.11 |