- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,180.17 / $2,608.07 / $4,098.51
| Facility | | $2,180.17 | $2,608.07 | $4,098.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,416.45 / $37,782.72 / $52,623.67
| Facility | | $26,416.45 | $37,782.72 | $52,623.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,195.01 / $1,529.61 / $1,799.46
| Professional | | $1,195.01 | $1,529.61 | $1,799.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,390.81 / $1,758.25 / $2,732.04
| Facility | | $1,390.81 | $1,758.25 | $2,732.04 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $210.70 / $310.82 / $455.32
| Facility | AS | $210.70 | $310.82 | $455.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,178.09 / $1,606.49 / $5,363.36
| Facility | | $1,178.09 | $1,606.49 | $5,363.36 |