- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,002.27 / $5,162.22 / $13,188.96
| Facility | | $1,002.27 | $5,162.22 | $13,188.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,221.47 / $3,221.47 / $4,603.08
| Facility | | $3,221.47 | $3,221.47 | $4,603.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $606.10 / $606.10 / $6,025.59
| Facility | | $606.10 | $606.10 | $6,025.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,002.27 / $1,346.27 / $2,265.13
| Facility | | $1,002.27 | $1,346.27 | $2,265.13 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $151.34 / $226.20 / $317.12
| Facility | AS | $151.34 | $226.20 | $317.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,015.00 / $15,545.00 / $22,780.00
| Facility | | $4,015.00 | $15,545.00 | $22,780.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,905.52 / $19,913.50 / $26,542.00
| Facility | | $3,905.52 | $19,913.50 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $239.09 / $1,134.79 / $1,887.52
| Facility | AS | $239.09 | $1,134.79 | $1,887.52 |