- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $143.04 / $306.83 / $2,168.00
| Facility | | $143.04 | $306.83 | $2,168.00 |
- Facility/Professional
- Facility
- Modifier
- 53
- Low / Median / High Price
- $28.61 / $71.73 / $153.47
| Facility | 53 | $28.61 | $71.73 | $153.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $730.97 / $1,590.09 / $3,378.92
| Facility | | $730.97 | $1,590.09 | $3,378.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $715.56 / $1,116.80 / $2,686.61
| Facility | | $715.56 | $1,116.80 | $2,686.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $620.09 / $1,019.15 / $2,115.44
| Facility | | $620.09 | $1,019.15 | $2,115.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $206.07 / $422.10 / $920.00
| Facility | | $206.07 | $422.10 | $920.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,224.00 / $3,500.00 / $6,361.00
| Facility | | $1,224.00 | $3,500.00 | $6,361.00 |