- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $724.44 / $5,495.41
| Facility | | $489.78 | $724.44 | $5,495.41 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $1,000.00 / $1,000.00 / $1,000.00
| Facility | 54 | $1,000.00 | $1,000.00 | $1,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138.04 / $346.74 / $707.95
| Facility | | $138.04 | $346.74 | $707.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.88 / $154.88 / $154.88
| Facility | | $154.88 | $154.88 | $154.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.08 / $602.56 / $912.01
| Facility | | $363.08 | $602.56 | $912.01 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $1,000.00 / $1,000.00 / $1,000.00
| Facility | 54 | $1,000.00 | $1,000.00 | $1,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $549.54 / $741.31
| Facility | | $426.58 | $549.54 | $741.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $1,819.70 / $9,332.54
| Facility | | $151.36 | $1,819.70 | $9,332.54 |