- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,241.22 / $10,431.19 / $20,928.72
| Facility | | $4,241.22 | $10,431.19 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,584.12 / $13,894.28 / $24,383.56
| Facility | | $9,584.12 | $13,894.28 | $24,383.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,763.01 / $2,997.12 / $4,254.50
| Facility | | $1,763.01 | $2,997.12 | $4,254.50 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $889.06 / $889.06 / $889.06
| Facility | AS | $889.06 | $889.06 | $889.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,226.00 / $4,274.35 / $6,077.64
| Facility | | $3,226.00 | $4,274.35 | $6,077.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,054.00 / $4,317.00 / $13,909.00
| Facility | | $3,054.00 | $4,317.00 | $13,909.00 |