- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,900.67 / $4,250.51 / $16,467.00
| Facility | | $1,900.67 | $4,250.51 | $16,467.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,328.23 / $2,328.23 / $2,328.23
| Facility | | $2,328.23 | $2,328.23 | $2,328.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,559.94 / $2,152.00 / $3,517.74
| Facility | | $1,559.94 | $2,152.00 | $3,517.74 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $282.81 / $301.27 / $403.80
| Facility | AS | $282.81 | $301.27 | $403.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $659.00 / $6,107.00 / $8,818.00
| Facility | | $659.00 | $6,107.00 | $8,818.00 |