- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $447.32 / $5,000.27 / $7,838.38
| Facility | | $447.32 | $5,000.27 | $7,838.38 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $308.69 / $308.69 / $335.49
| Facility | 54 | $308.69 | $308.69 | $335.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $484.77 / $1,777.55 / $2,672.80
| Facility | | $484.77 | $1,777.55 | $2,672.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $319.97 / $447.37 / $579.54
| Facility | | $319.97 | $447.37 | $579.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $418.00 / $2,516.00 / $2,877.00
| Facility | | $418.00 | $2,516.00 | $2,877.00 |