- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $2,187.76 / $7,762.47
| Facility | | $537.03 | $2,187.76 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $1,778.28 / $1,778.28 / $1,778.28
| Facility | 54 | $1,778.28 | $1,778.28 | $1,778.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,630.27 / $2,691.53 / $57,543.99
| Facility | | $2,630.27 | $2,691.53 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.33 / $794.33 / $794.33
| Facility | | $794.33 | $794.33 | $794.33 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $562.34 / $562.34 / $562.34
| Facility | 54 | $562.34 | $562.34 | $562.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.13 / $3,235.94 / $7,413.10
| Facility | | $1,047.13 | $3,235.94 | $7,413.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.44 / $1,819.70 / $7,244.36
| Facility | | $575.44 | $1,819.70 | $7,244.36 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $1,778.28 / $1,778.28 / $1,778.28
| Facility | 54 | $1,778.28 | $1,778.28 | $1,778.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $676.08 / $1,096.48
| Facility | | $676.08 | $676.08 | $1,096.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $407.38 / $467.74 / $524.81
| Facility | | $407.38 | $467.74 | $524.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223.87 / $1,621.81 / $5,128.61
| Facility | | $223.87 | $1,621.81 | $5,128.61 |