- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $244.70 / $3,272.40 / $7,598.64
| Facility | | $244.70 | $3,272.40 | $7,598.64 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $122.35 / $122.35 / $122.35
| Facility | 52 | $122.35 | $122.35 | $122.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,053.38 / $5,907.47 / $11,441.84
| Facility | | $3,053.38 | $5,907.47 | $11,441.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $576.27 / $899.41 / $2,163.65
| Facility | | $576.27 | $899.41 | $2,163.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $499.39 / $820.77 / $1,703.66
| Facility | | $499.39 | $820.77 | $1,703.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $271.77 / $526.91 / $3,898.86
| Facility | | $271.77 | $526.91 | $3,898.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,623.00 / $4,746.00 / $8,812.00
| Facility | | $1,623.00 | $4,746.00 | $8,812.00 |