- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.44 / $7,943.28 / $26,915.35
| Facility | | $575.44 | $7,943.28 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $660.69 / $1,621.81
| Facility | | $524.81 | $660.69 | $1,621.81 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $794.33 / $794.33 / $794.33
| Facility | 22 | $794.33 | $794.33 | $794.33 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $66.07 / $66.07 / $66.07
| Facility | AS | $66.07 | $66.07 | $66.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $831.76 / $831.76
| Facility | | $831.76 | $831.76 | $831.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $10,715.19 / $16,595.87
| Facility | | $10,715.19 | $10,715.19 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $7,762.47 / $16,218.10
| Facility | | $537.03 | $7,762.47 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $407.38 / $478.63 / $776.25
| Facility | | $407.38 | $478.63 | $776.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $380.19 / $1,412.54
| Facility | | $380.19 | $380.19 | $1,412.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,454.71 / $7,079.46 / $21,379.62
| Facility | | $2,454.71 | $7,079.46 | $21,379.62 |