- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $520.02 / $7,838.38 / $8,763.29
| Facility | | $520.02 | $7,838.38 | $8,763.29 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $249.33 / $249.33 / $390.02
| Facility | 54 | $249.33 | $249.33 | $390.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $770.41 / $2,703.05 / $4,139.70
| Facility | | $770.41 | $2,703.05 | $4,139.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $298.87 / $479.16 / $762.64
| Facility | | $298.87 | $479.16 | $762.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $230.00 / $1,158.00 / $1,401.00
| Facility | | $230.00 | $1,158.00 | $1,401.00 |