- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,224.23 / $3,695.07 / $8,094.57
| Facility | | $1,224.23 | $3,695.07 | $8,094.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,636.21 / $8,766.98 / $14,405.53
| Facility | | $4,636.21 | $8,766.98 | $14,405.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,218.08 / $1,218.08 / $3,240.43
| Facility | | $1,218.08 | $1,218.08 | $3,240.43 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $118.22 / $118.22 / $118.22
| Facility | AS | $118.22 | $118.22 | $118.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,403.00 / $3,325.00 / $8,152.00
| Facility | | $1,403.00 | $3,325.00 | $8,152.00 |