- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,006.87 / $9,062.00 / $18,276.00
| Facility | | $1,006.87 | $9,062.00 | $18,276.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,618.76 / $8,242.25 / $13,127.70
| Facility | | $3,618.76 | $8,242.25 | $13,127.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $624.15 / $810.85 / $1,592.23
| Facility | | $624.15 | $810.85 | $1,592.23 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $89.99 / $102.76 / $183.46
| Facility | AS | $89.99 | $102.76 | $183.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $19,627.00 / $25,620.00
| Facility | | $3,028.00 | $19,627.00 | $25,620.00 |