- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $633.92 / $990.22 / $29,512.09
| Facility | | $633.92 | $990.22 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.18 / $766.86 / $835.50
| Facility | | $688.18 | $766.86 | $835.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $738.76 / $738.76 / $738.76
| Facility | | $738.76 | $738.76 | $738.76 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $73.37 / $73.37 / $73.37
| Facility | AS | $73.37 | $73.37 | $73.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,549.05 / $7,549.05 / $7,549.05
| Facility | | $7,549.05 | $7,549.05 | $7,549.05 |