- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $580.59 / $9,124.81 / $25,165.76
| Facility | | $580.59 | $9,124.81 | $25,165.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $14,160.61 / $16,223.75
| Facility | | $55.00 | $14,160.61 | $16,223.75 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $924.53 / $1,537.78 / $1,537.78
| Facility | AS | $924.53 | $1,537.78 | $1,537.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,285.42 / $2,285.42 / $6,775.01
| Facility | | $2,285.42 | $2,285.42 | $6,775.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $374.07 / $777.71 / $5,941.46
| Facility | | $374.07 | $777.71 | $5,941.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $561.54 / $740.13 / $779.21
| Facility | | $561.54 | $740.13 | $779.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,886.41 / $9,886.41 / $16,351.48
| Facility | | $9,886.41 | $9,886.41 | $16,351.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,400.00 / $4,016.00 / $11,627.00
| Facility | | $1,400.00 | $4,016.00 | $11,627.00 |