- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,148.15 / $6,309.57 / $16,982.44
| Facility | | $1,148.15 | $6,309.57 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,174.90 / $1,949.84 / $11,748.98
| Facility | | $1,174.90 | $1,949.84 | $11,748.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.86 / $1,202.26 / $3,981.07
| Facility | | $512.86 | $1,202.26 | $3,981.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $977.24 / $977.24 / $1,071.52
| Facility | | $977.24 | $977.24 | $1,071.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $11,748.98 / $25,703.96
| Facility | | $891.25 | $11,748.98 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $2,290.87 / $2,290.87 / $2,290.87
| Facility | 22 | $2,290.87 | $2,290.87 | $2,290.87 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $190.55 / $190.55 / $190.55
| Facility | AS | $190.55 | $190.55 | $190.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $22,387.21 / $22,387.21
| Facility | | $14,791.08 | $22,387.21 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $1,479.11 / $1,479.11 / $1,479.11
| Facility | AS | $1,479.11 | $1,479.11 | $1,479.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,023.29 / $1,548.82 / $7,244.36
| Facility | | $1,023.29 | $1,548.82 | $7,244.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.13 / $1,445.44 / $2,630.27
| Facility | | $1,047.13 | $1,445.44 | $2,630.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,570.40 / $8,912.51 / $20,892.96
| Facility | | $2,570.40 | $8,912.51 | $20,892.96 |