- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $3,388.44 / $7,762.47
| Facility | | $489.78 | $3,388.44 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $3,981.07 / $33,884.42
| Facility | | $616.60 | $3,981.07 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $6,309.57 / $6,309.57 / $6,309.57
| Facility | 52 | $6,309.57 | $6,309.57 | $6,309.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $912.01 / $3,090.30
| Facility | | $831.76 | $912.01 | $3,090.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $239.88 / $707.95 / $7,079.46
| Facility | | $239.88 | $707.95 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $3,801.89 / $9,772.37
| Facility | | $524.81 | $3,801.89 | $9,772.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $5,754.40 / $8,511.38
| Facility | | $4,466.84 | $5,754.40 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $3,981.07 / $33,884.42
| Facility | | $616.60 | $3,981.07 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $6,309.57 / $6,309.57 / $6,309.57
| Facility | 52 | $6,309.57 | $6,309.57 | $6,309.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $3,890.45 / $9,549.93
| Facility | | $1,071.52 | $3,890.45 | $9,549.93 |