- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $166.36 / $592.08 / $7,278.00
| Facility | | $166.36 | $592.08 | $7,278.00 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $295.29 / $320.10 / $492.25
| Facility | 54 | $295.29 | $320.10 | $492.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $530.04 / $530.04 / $1,438.74
| Facility | | $530.04 | $530.04 | $1,438.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $393.72 / $512.16 / $807.25
| Facility | | $393.72 | $512.16 | $807.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $713.00 / $2,376.00 / $3,517.00
| Facility | | $713.00 | $2,376.00 | $3,517.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,372.69 / $2,372.69 / $16,394.00
| Facility | | $2,372.69 | $2,372.69 | $16,394.00 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $742.32 / $1,485.25 / $1,485.25
| Facility | 54 | $742.32 | $1,485.25 | $1,485.25 |