- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,582.98 / $3,829.73 / $8,074.63
| Facility | | $1,582.98 | $3,829.73 | $8,074.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,088.00 / $9,565.00 / $17,206.00
| Facility | | $5,088.00 | $9,565.00 | $17,206.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,809.50 / $1,809.50 / $2,500.69
| Facility | | $1,809.50 | $1,809.50 | $2,500.69 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $177.31 / $177.31 / $177.31
| Facility | AS | $177.31 | $177.31 | $177.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,403.00 / $3,325.00 / $8,198.00
| Facility | | $1,403.00 | $3,325.00 | $8,198.00 |