- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $7,413.10 / $12,589.25
| Facility | | $1,445.44 | $7,413.10 | $12,589.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $10,000.00 / $57,543.99
| Facility | | $9,549.93 | $10,000.00 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,698.24 / $1,698.24 / $1,698.24
| Facility | | $1,698.24 | $1,698.24 | $1,698.24 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $169.82 / $169.82 / $169.82
| Facility | AS | $169.82 | $169.82 | $169.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,884.03 / $11,748.98 / $17,378.01
| Facility | | $2,884.03 | $11,748.98 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,148.15 / $6,309.57 / $12,022.64
| Facility | | $1,148.15 | $6,309.57 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,174.90 / $1,174.90 / $2,041.74
| Facility | | $1,174.90 | $1,174.90 | $2,041.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $977.24 / $1,122.02 / $1,513.56
| Facility | | $977.24 | $1,122.02 | $1,513.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,454.71 / $5,495.41 / $22,387.21
| Facility | | $2,454.71 | $5,495.41 | $22,387.21 |