- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,548.13 / $24,741.18 / $56,394.26
| Facility | | $1,548.13 | $24,741.18 | $56,394.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,897.00 / $27,770.10 / $55,801.25
| Facility | | $5,897.00 | $27,770.10 | $55,801.25 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $1,582.51 / $2,632.21 / $2,632.21
| Facility | AS | $1,582.51 | $2,632.21 | $2,632.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,960.89 / $6,960.89 / $11,596.76
| Facility | | $6,960.89 | $6,960.89 | $11,596.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,612.94 / $2,798.39 / $12,102.55
| Facility | | $1,612.94 | $2,798.39 | $12,102.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,909.53 / $2,347.01 / $2,594.91
| Facility | | $1,909.53 | $2,347.01 | $2,594.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,637.60 / $1,678.10 / $4,000.25
| Facility | | $1,637.60 | $1,678.10 | $4,000.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,916.23 / $29,070.27 / $55,801.25
| Facility | | $18,916.23 | $29,070.27 | $55,801.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $4,686.00 / $20,708.00
| Facility | | $3,028.00 | $4,686.00 | $20,708.00 |