- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,456.00 / $5,538.00 / $18,600.00
| Facility | | $1,456.00 | $5,538.00 | $18,600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,721.40 / $12,180.59 / $19,381.03
| Facility | | $7,721.40 | $12,180.59 | $19,381.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,300.32 / $1,959.73 / $8,753.15
| Facility | | $1,300.32 | $1,959.73 | $8,753.15 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $2,569.69 / $2,569.69 / $2,569.69
| Facility | AS | $2,569.69 | $2,569.69 | $2,569.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,481.00 / $5,407.00 / $9,232.95
| Facility | | $1,481.00 | $5,407.00 | $9,232.95 |