- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,226.22 / $1,958.08 / $10,561.00
| Facility | | $1,226.22 | $1,958.08 | $10,561.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $606.10 / $606.10 / $13,652.00
| Facility | | $606.10 | $606.10 | $13,652.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,226.22 / $1,498.52 / $2,956.89
| Facility | | $1,226.22 | $1,498.52 | $2,956.89 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $189.28 / $209.79 / $420.00
| Facility | AS | $189.28 | $209.79 | $420.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,015.00 / $15,545.00 / $22,780.00
| Facility | | $4,015.00 | $15,545.00 | $22,780.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,897.00 / $20,140.54 / $20,140.54
| Facility | | $5,897.00 | $20,140.54 | $20,140.54 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $274.83 / $920.33 / $1,625.25
| Facility | AS | $274.83 | $920.33 | $1,625.25 |