- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,526.35 / $24,322.50 / $65,725.42
| Facility | | $7,526.35 | $24,322.50 | $65,725.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,030.49 / $1,163.41 / $1,267.56
| Facility | | $1,030.49 | $1,163.41 | $1,267.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,104.48 / $1,104.48 / $1,104.48
| Facility | | $1,104.48 | $1,104.48 | $1,104.48 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $108.86 / $108.86 / $108.86
| Facility | AS | $108.86 | $108.86 | $108.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,069.57 / $21,775.27 / $81,100.74
| Facility | | $8,069.57 | $21,775.27 | $81,100.74 |