- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $10,506.16 / $21,899.37
| Facility | | $5,463.36 | $10,506.16 | $21,899.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,838.93 / $11,364.26 / $19,943.52
| Facility | | $7,838.93 | $11,364.26 | $19,943.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $514.94 / $875.40 / $1,424.33
| Facility | | $514.94 | $875.40 | $1,424.33 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $905.99 / $905.99 / $905.99
| Facility | AS | $905.99 | $905.99 | $905.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $985.35 / $1,392.00 / $3,033.31
| Facility | | $985.35 | $1,392.00 | $3,033.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,341.00 / $7,441.00 / $8,816.00
| Facility | | $5,341.00 | $7,441.00 | $8,816.00 |