- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $502.99 / $3,463.48 / $14,464.32
| Facility | | $502.99 | $3,463.48 | $14,464.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,961.46 / $9,172.83 / $17,546.59
| Facility | | $2,961.46 | $9,172.83 | $17,546.59 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $510.42 / $849.00 / $849.00
| Facility | AS | $510.42 | $849.00 | $849.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $466.83 / $568.48 / $3,740.43
| Facility | | $466.83 | $568.48 | $3,740.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $406.31 / $815.04 / $3,280.24
| Facility | | $406.31 | $815.04 | $3,280.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $525.28 / $716.23 / $753.08
| Facility | | $525.28 | $716.23 | $753.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $495.13 / $513.66 / $2,961.46
| Facility | | $495.13 | $513.66 | $2,961.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,948.17 / $9,167.59 / $17,546.59
| Facility | | $5,948.17 | $9,167.59 | $17,546.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,547.00 / $2,408.00 / $10,522.00
| Facility | | $1,547.00 | $2,408.00 | $10,522.00 |