- 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
- $33,735.08 / $44,370.85 / $85,827.55
| Facility | | $33,735.08 | $44,370.85 | $85,827.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $716.36 / $1,027.26 / $4,406.00
| Facility | | $716.36 | $1,027.26 | $4,406.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $289.14 / $289.14 / $289.14
| Facility | AS | $289.14 | $289.14 | $289.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,090.00 / $1,396.22 / $1,891.24
| Facility | | $1,090.00 | $1,396.22 | $1,891.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,054.00 / $4,317.00 / $13,909.00
| Facility | | $3,054.00 | $4,317.00 | $13,909.00 |