- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $1,318.26 / $7,079.46
| Facility | | $371.54 | $1,318.26 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $524.81 / $954.99 / $1,412.54
| Facility | 54 | $524.81 | $954.99 | $1,412.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $3,630.78 / $8,709.64
| Facility | | $1,445.44 | $3,630.78 | $8,709.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.13 / $602.56 / $2,818.38
| Facility | | $331.13 | $602.56 | $2,818.38 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $416.87 / $416.87 / $416.87
| Facility | 54 | $416.87 | $416.87 | $416.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204.17 / $1,071.52 / $3,467.37
| Facility | | $204.17 | $1,071.52 | $3,467.37 |