- 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
- $11,018.89 / $14,492.85 / $28,033.86
| Facility | | $11,018.89 | $14,492.85 | $28,033.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,446.47 / $2,247.41 / $13,344.03
| Facility | | $1,446.47 | $2,247.41 | $13,344.03 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $587.05 / $587.05 / $587.05
| Facility | AS | $587.05 | $587.05 | $587.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,276.34 / $2,828.85 / $3,820.68
| Facility | | $2,276.34 | $2,828.85 | $3,820.68 |
- 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 |