- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $768.06 / $5,000.27 / $7,838.38
| Facility | | $768.06 | $5,000.27 | $7,838.38 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $576.04 / $576.04 / $576.04
| Facility | 54 | $576.04 | $576.04 | $576.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,546.18 / $5,354.03 / $8,308.17
| Facility | | $1,546.18 | $5,354.03 | $8,308.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $682.04 / $850.39 / $1,142.53
| Facility | | $682.04 | $850.39 | $1,142.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $418.00 / $2,516.00 / $2,877.00
| Facility | | $418.00 | $2,516.00 | $2,877.00 |