- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,070.04 / $5,317.36 / $10,561.00
| Facility | | $1,070.04 | $5,317.36 | $10,561.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $748.70 / $748.70 / $8,142.55
| Facility | | $748.70 | $748.70 | $8,142.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $764.32 / $963.00 / $1,593.07
| Facility | | $764.32 | $963.00 | $1,593.07 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $134.54 / $134.82 / $241.83
| Facility | AS | $134.54 | $134.82 | $241.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,317.00 / $14,893.00 / $22,265.00
| Facility | | $4,317.00 | $14,893.00 | $22,265.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,668.40 / $26,909.65 / $33,500.00
| Facility | | $3,668.40 | $26,909.65 | $33,500.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $178.55 / $1,533.48 / $2,550.66
| Facility | AS | $178.55 | $1,533.48 | $2,550.66 |