- 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
- $1,585.41 / $2,673.55 / $10,941.00
| Facility | | $1,585.41 | $2,673.55 | $10,941.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $746.31 / $746.31 / $746.31
| Facility | AS | $746.31 | $746.31 | $746.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,680.00 / $3,588.03 / $4,845.96
| Facility | | $2,680.00 | $3,588.03 | $4,845.96 |
- 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 |