- 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
- $2,433.94 / $3,591.06 / $13,909.00
| Facility | | $2,433.94 | $3,591.06 | $13,909.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $983.53 / $983.53 / $983.53
| Facility | AS | $983.53 | $983.53 | $983.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,828.92 / $4,758.27 / $6,403.53
| Facility | | $3,828.92 | $4,758.27 | $6,403.53 |
- 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 |