- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,258.93 / $6,165.95 / $12,882.50
| Facility | | $1,258.93 | $6,165.95 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $10,715.19 / $16,218.10
| Facility | | $9,120.11 | $10,715.19 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $1,096.48 / $1,445.44
| Facility | | $851.14 | $1,096.48 | $1,445.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $1,548.82 / $1,548.82
| Facility | | $34.67 | $1,548.82 | $1,548.82 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $1,862.09 / $1,862.09 / $1,862.09
| Facility | 22 | $1,862.09 | $1,862.09 | $1,862.09 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $154.88 / $154.88 / $154.88
| Facility | AS | $154.88 | $154.88 | $154.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $977.24 / $5,011.87 / $12,302.69
| Facility | | $977.24 | $5,011.87 | $12,302.69 |