- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $2,691.53 / $5,370.32
| Facility | | $467.74 | $2,691.53 | $5,370.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $5,623.41 / $28,840.32
| Facility | | $436.52 | $5,623.41 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $7,244.36 / $7,244.36 / $7,244.36
| Facility | 52 | $7,244.36 | $7,244.36 | $7,244.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $208.93 / $208.93 / $489.78
| Facility | | $208.93 | $208.93 | $489.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.78 / $501.19 / $7,079.46
| Facility | | $173.78 | $501.19 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $5,248.07 / $11,220.18
| Facility | | $2,137.96 | $5,248.07 | $11,220.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.97 / $3,311.31 / $3,548.13
| Facility | | $181.97 | $3,311.31 | $3,548.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $5,623.41 / $28,840.32
| Facility | | $436.52 | $5,623.41 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $7,244.36 / $7,244.36 / $7,244.36
| Facility | 52 | $7,244.36 | $7,244.36 | $7,244.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,041.74 / $5,248.07 / $11,220.18
| Facility | | $2,041.74 | $5,248.07 | $11,220.18 |