- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.27 / $31,622.78 / $36,307.81
| Facility | | $1,230.27 | $31,622.78 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,148.15 / $1,148.15 / $1,412.54
| Facility | | $1,148.15 | $1,148.15 | $1,412.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $1,819.70 / $1,819.70
| Facility | | $34.67 | $1,819.70 | $1,819.70 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $2,187.76 / $2,187.76 / $2,187.76
| Facility | 22 | $2,187.76 | $2,187.76 | $2,187.76 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $181.97 / $181.97 / $181.97
| Facility | AS | $181.97 | $181.97 | $181.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $50,118.72 / $60,255.96
| Facility | | $48,977.88 | $50,118.72 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $4,466.84 / $29,512.09
| Facility | | $4,466.84 | $4,466.84 | $29,512.09 |