- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,712.94 / $8,477.27 / $20,928.72
| Facility | | $1,712.94 | $8,477.27 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,766.83 / $15,476.59 / $29,936.73
| Facility | | $11,766.83 | $15,476.59 | $29,936.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,712.94 / $3,018.78 / $4,918.97
| Facility | | $1,712.94 | $3,018.78 | $4,918.97 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $479.24 / $890.73 / $890.73
| Facility | AS | $479.24 | $890.73 | $890.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,253.80 / $4,282.35 / $6,054.70
| Facility | | $2,253.80 | $4,282.35 | $6,054.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,126.00 / $4,317.00 / $7,856.00
| Facility | | $3,126.00 | $4,317.00 | $7,856.00 |