- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,517.36 / $9,062.00 / $15,652.16
| Facility | | $3,517.36 | $9,062.00 | $15,652.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,062.08 / $10,479.10 / $18,498.91
| Facility | | $4,062.08 | $10,479.10 | $18,498.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,081.57 / $6,081.57 / $7,814.93
| Facility | | $6,081.57 | $6,081.57 | $7,814.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,245.79 / $1,713.91 / $2,714.50
| Facility | | $1,245.79 | $1,713.91 | $2,714.50 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,394.00 / $2,588.42 / $3,580.17
| Facility | 50 | $2,394.00 | $2,588.42 | $3,580.17 |
- Facility/Professional
- Facility
- Modifier
- 80
- Low / Median / High Price
- $319.20 / $345.12 / $477.36
| Facility | 80 | $319.20 | $345.12 | $477.36 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $211.92 / $241.59 / $334.15
| Facility | AS | $211.92 | $241.59 | $334.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,912.00 / $16,959.00 / $23,485.00
| Facility | | $2,912.00 | $16,959.00 | $23,485.00 |