- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,778.28 / $7,079.46 / $17,378.01
| Facility | | $1,778.28 | $7,079.46 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,630.78 / $6,165.95 / $13,803.84
| Facility | | $3,630.78 | $6,165.95 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.57 / $100.00 / $6,165.95
| Facility | | $64.57 | $100.00 | $6,165.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $8,317.64 / $14,791.08
| Facility | | $630.96 | $8,317.64 | $14,791.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $151.36 / $173.78 / $229.09
| Professional | | $151.36 | $173.78 | $229.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $147.91 / $181.97 / $389.05
| Professional | | $147.91 | $181.97 | $389.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $56.23 / $1,148.15
| Facility | | $54.95 | $56.23 | $1,148.15 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $114.82 / $114.82 / $114.82
| Facility | AS | $114.82 | $114.82 | $114.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $169.82 / $234.42 / $407.38
| Facility | | $169.82 | $234.42 | $407.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $416.87 / $1,479.11 / $6,025.60
| Facility | | $416.87 | $1,479.11 | $6,025.60 |