- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $581.36 / $8,233.89 / $11,445.57
| Facility | | $581.36 | $8,233.89 | $11,445.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $606.10 / $606.10 / $2,710.28
| Facility | | $606.10 | $606.10 | $2,710.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $581.36 / $726.00 / $1,199.14
| Facility | | $581.36 | $726.00 | $1,199.14 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $100.79 / $101.64 / $183.94
| Facility | AS | $100.79 | $101.64 | $183.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,248.00 / $9,541.00 / $14,589.00
| Facility | | $2,248.00 | $9,541.00 | $14,589.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,804.80 / $8,957.00 / $26,542.00
| Facility | | $2,804.80 | $8,957.00 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $137.01 / $510.42 / $849.00
| Facility | AS | $137.01 | $510.42 | $849.00 |