- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $2,884.03 / $5,370.32
| Facility | | $1,445.44 | $2,884.03 | $5,370.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.04 / $3,630.78 / $28,840.32
| Facility | | $257.04 | $3,630.78 | $28,840.32 |
- 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
- $588.84 / $645.65 / $2,691.53
| Facility | | $588.84 | $645.65 | $2,691.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.33 / $501.19 / $7,079.46
| Facility | | $102.33 | $501.19 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $3,162.28 / $8,511.38
| Facility | | $616.60 | $3,162.28 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,090.30 / $3,311.31 / $4,365.16
| Facility | | $3,090.30 | $3,311.31 | $4,365.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.04 / $3,630.78 / $28,840.32
| Facility | | $257.04 | $3,630.78 | $28,840.32 |
- 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
- $676.08 / $3,548.13 / $8,511.38
| Facility | | $676.08 | $3,548.13 | $8,511.38 |