- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $524.81 / $5,011.87
| Facility | | $524.81 | $524.81 | $5,011.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $20,892.96 / $47,863.01
| Facility | | $13,182.57 | $20,892.96 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.27 / $1,737.80 / $4,073.80
| Facility | | $1,230.27 | $1,737.80 | $4,073.80 |
- Facility/Professional
- Facility
- Modifier
- 53
- Low / Median / High Price
- $169.82 / $169.82 / $169.82
| Facility | 53 | $169.82 | $169.82 | $169.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,318.26 / $1,659.59 / $3,235.94
| Facility | | $1,318.26 | $1,659.59 | $3,235.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $1,202.26 / $25,703.96
| Facility | | $707.95 | $1,202.26 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $14,125.38 / $40,738.03
| Facility | | $8,317.64 | $14,125.38 | $40,738.03 |