- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,073.00 / $4,474.00 / $8,717.00
| Facility | | $2,073.00 | $4,474.00 | $8,717.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,660.00 / $6,198.03 / $10,860.55
| Facility | | $1,660.00 | $6,198.03 | $10,860.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.74 / $1,269.65 / $2,493.17
| Facility | | $1,000.74 | $1,269.65 | $2,493.17 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $273.08 / $494.71 / $494.71
| Facility | AS | $273.08 | $494.71 | $494.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,314.00 / $2,661.00 / $14,572.00
| Facility | | $1,314.00 | $2,661.00 | $14,572.00 |