- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $10,553.39 / $20,928.72
| Facility | | $5,463.36 | $10,553.39 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,416.80 / $8,696.41 / $16,325.39
| Facility | | $6,416.80 | $8,696.41 | $16,325.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,161.98 / $2,017.78 / $8,723.00
| Facility | | $1,161.98 | $2,017.78 | $8,723.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $544.37 / $544.37 / $544.37
| Facility | AS | $544.37 | $544.37 | $544.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,973.00 / $2,632.90 / $3,672.86
| Facility | | $1,973.00 | $2,632.90 | $3,672.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,178.00 / $7,441.00 / $8,816.00
| Facility | | $6,178.00 | $7,441.00 | $8,816.00 |