- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $3,019.95 / $7,943.28
| Facility | | $309.03 | $3,019.95 | $7,943.28 |
- Facility/Professional
- Facility
- Modifier
- 53
- Low / Median / High Price
- $70.79 / $123.03 / $288.40
| Facility | 53 | $70.79 | $123.03 | $288.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $467.74 / $870.96
| Facility | | $263.03 | $467.74 | $870.96 |
- Facility/Professional
- Facility
- Modifier
- 53
- Low / Median / High Price
- $52.48 / $52.48 / $426.58
| Facility | 53 | $52.48 | $52.48 | $426.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $3,235.94 / $6,606.93
| Facility | | $2,137.96 | $3,235.94 | $6,606.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $3,311.31 / $6,606.93
| Facility | | $707.95 | $3,311.31 | $6,606.93 |