- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,241.22 / $10,431.19 / $20,928.72
| Facility | | $4,241.22 | $10,431.19 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,195.75 / $12,462.61 / $23,395.49
| Facility | | $9,195.75 | $12,462.61 | $23,395.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $646.28 / $1,163.72 / $9,957.74
| Facility | | $646.28 | $1,163.72 | $9,957.74 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $302.45 / $302.45 / $302.45
| Facility | AS | $302.45 | $302.45 | $302.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,184.23 / $1,471.67 / $2,050.21
| Facility | | $1,184.23 | $1,471.67 | $2,050.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,148.00 / $9,696.00 / $15,622.00
| Facility | | $8,148.00 | $9,696.00 | $15,622.00 |