- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,008.94 / $8,324.39 / $53,973.71
| Facility | | $3,008.94 | $8,324.39 | $53,973.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,759.57 / $13,921.27 / $25,571.79
| Facility | | $4,759.57 | $13,921.27 | $25,571.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $580.00 / $890.00 / $7,572.31
| Facility | | $580.00 | $890.00 | $7,572.31 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $126.27 / $126.27 / $126.27
| Facility | AS | $126.27 | $126.27 | $126.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,157.66 / $1,547.99 / $2,452.44
| Facility | | $1,157.66 | $1,547.99 | $2,452.44 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $172.62 / $241.22 / $327.87
| Facility | AS | $172.62 | $241.22 | $327.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $19,526.00 / $24,161.00
| Facility | | $3,028.00 | $19,526.00 | $24,161.00 |