- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,187.76 / $5,370.32 / $8,912.51
| Facility | | $2,187.76 | $5,370.32 | $8,912.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,737.80 / $5,623.41 / $8,317.64
| Facility | | $1,737.80 | $5,623.41 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $1,548.82 / $9,332.54
| Facility | | $1,071.52 | $1,548.82 | $9,332.54 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $281.84 / $281.84 / $512.86
| Facility | AS | $281.84 | $281.84 | $512.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,248.07 / $7,244.36 / $11,481.54
| Facility | | $5,248.07 | $7,244.36 | $11,481.54 |