- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $5,623.41 / $18,620.87
| Facility | | $1,122.02 | $5,623.41 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $10,964.78 / $40,738.03
| Facility | | $2,344.23 | $10,964.78 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $12,302.69 / $21,877.62
| Facility | | $1,071.52 | $12,302.69 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $776.25 / $1,412.54 / $19,952.62
| Facility | | $776.25 | $1,412.54 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $208.93 / $9,772.37 / $9,772.37
| Facility | AS | $208.93 | $9,772.37 | $9,772.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,162.28 / $5,623.41 / $19,952.62
| Facility | | $3,162.28 | $5,623.41 | $19,952.62 |