- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,698.24 / $4,897.79 / $8,912.51
| Facility | | $1,698.24 | $4,897.79 | $8,912.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,238.72 / $6,025.60 / $12,589.25
| Facility | | $2,238.72 | $6,025.60 | $12,589.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $2,089.30 / $10,964.78
| Facility | | $54.95 | $2,089.30 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $263.03 / $489.78 / $489.78
| Facility | AS | $263.03 | $489.78 | $489.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,288.25 / $2,818.38 / $10,471.29
| Facility | | $1,288.25 | $2,818.38 | $10,471.29 |