- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $700.17 / $1,941.00 / $7,212.00
| Facility | | $700.17 | $1,941.00 | $7,212.00 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $525.13 / $525.13 / $856.25
| Facility | 54 | $525.13 | $525.13 | $856.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,943.00 / $5,126.00 / $8,240.00
| Facility | | $1,943.00 | $5,126.00 | $8,240.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $689.05 / $945.76 / $1,418.64
| Facility | | $689.05 | $945.76 | $1,418.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,123.45 / $1,123.45 / $1,331.74
| Facility | | $1,123.45 | $1,123.45 | $1,331.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,341.25 / $2,804.00 / $4,078.00
| Facility | | $1,341.25 | $2,804.00 | $4,078.00 |