- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,437.52 / $9,062.00 / $18,276.00
| Facility | | $1,437.52 | $9,062.00 | $18,276.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,476.09 / $11,396.22 / $19,507.71
| Facility | | $5,476.09 | $11,396.22 | $19,507.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,412.84 / $5,740.31 / $14,963.00
| Facility | | $1,412.84 | $5,740.31 | $14,963.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $140.11 / $140.11 / $140.11
| Facility | AS | $140.11 | $140.11 | $140.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,313.05 / $1,581.27 / $2,746.79
| Facility | | $1,313.05 | $1,581.27 | $2,746.79 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $194.71 / $217.98 / $359.83
| Facility | AS | $194.71 | $217.98 | $359.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $17,146.00 / $24,161.00
| Facility | | $3,028.00 | $17,146.00 | $24,161.00 |