- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,241.22 / $10,506.16 / $24,068.03
| Facility | | $4,241.22 | $10,506.16 | $24,068.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,183.05 / $10,762.95 / $20,819.02
| Facility | | $8,183.05 | $10,762.95 | $20,819.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $874.42 / $1,617.68 / $6,758.04
| Facility | | $874.42 | $1,617.68 | $6,758.04 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $244.72 / $443.85 / $443.85
| Facility | AS | $244.72 | $443.85 | $443.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.18 / $2,184.27 / $2,990.85
| Facility | | $1,122.18 | $2,184.27 | $2,990.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,178.00 / $7,441.00 / $8,816.00
| Facility | | $6,178.00 | $7,441.00 | $8,816.00 |