- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $10,471.29 / $13,182.57
| Facility | | $851.14 | $10,471.29 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,019.95 / $3,467.37 / $3,890.45
| Facility | | $3,019.95 | $3,467.37 | $3,890.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $3,311.31 / $5,495.41
| Facility | | $501.19 | $3,311.31 | $5,495.41 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $1,174.90 / $1,174.90 / $1,174.90
| Facility | 22 | $1,174.90 | $1,174.90 | $1,174.90 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $97.72 / $97.72 / $97.72
| Facility | AS | $97.72 | $97.72 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $831.76 / $831.76 / $831.76
| Professional | | $831.76 | $831.76 | $831.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $707.95 / $1,122.02
| Facility | | $537.03 | $707.95 | $1,122.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,737.80 / $7,079.46 / $19,952.62
| Facility | | $1,737.80 | $7,079.46 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $16,218.10 / $50,118.72
| Facility | | $16,218.10 | $16,218.10 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $1,621.81 / $1,621.81 / $1,621.81
| Facility | AS | $1,621.81 | $1,621.81 | $1,621.81 |