- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $11,100.08 / $24,068.03
| Facility | | $5,463.36 | $11,100.08 | $24,068.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,867.78 / $12,855.80 / $22,561.09
| Facility | | $8,867.78 | $12,855.80 | $22,561.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $990.68 / $1,684.16 / $2,345.69
| Facility | | $990.68 | $1,684.16 | $2,345.69 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $2,632.21 / $2,632.21 / $2,632.21
| Facility | AS | $2,632.21 | $2,632.21 | $2,632.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,657.44 / $2,493.87 / $8,812.79
| Facility | | $1,657.44 | $2,493.87 | $8,812.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,777.00 / $8,220.00 / $9,696.00
| Facility | | $6,777.00 | $8,220.00 | $9,696.00 |