- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $472.60 / $525.16 / $7,838.38
| Facility | | $472.60 | $525.16 | $7,838.38 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $261.73 / $261.73 / $289.58
| Facility | 54 | $261.73 | $261.73 | $289.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $241.91 / $616.75 / $1,001.38
| Facility | | $241.91 | $616.75 | $1,001.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $231.00 / $387.80 / $508.35
| Facility | | $231.00 | $387.80 | $508.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $230.00 / $1,158.00 / $1,401.00
| Facility | | $230.00 | $1,158.00 | $1,401.00 |