- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $604.91 / $3,261.00 / $11,481.00
| Facility | | $604.91 | $3,261.00 | $11,481.00 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $423.92 / $455.54 / $456.76
| Facility | 54 | $423.92 | $455.54 | $456.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.00 / $835.58 / $994.74
| Facility | | $323.00 | $835.58 | $994.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,578.00 / $4,823.00 / $9,635.00
| Facility | | $2,578.00 | $4,823.00 | $9,635.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $366.00 / $1,950.00 / $5,107.00
| Facility | | $366.00 | $1,950.00 | $5,107.00 |