- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $777.81 / $777.81 / $18,503.70
| Facility | | $777.81 | $777.81 | $18,503.70 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $388.91 / $388.91 / $388.91
| Facility | 52 | $388.91 | $388.91 | $388.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,989.87 / $31,731.72 / $71,686.41
| Facility | | $3,989.87 | $31,731.72 | $71,686.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,083.76 / $2,955.03 / $7,108.73
| Facility | | $2,083.76 | $2,955.03 | $7,108.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,693.95 / $2,701.61 / $5,597.43
| Facility | | $1,693.95 | $2,701.61 | $5,597.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,192.44 / $1,732.79 / $14,426.55
| Facility | | $1,192.44 | $1,732.79 | $14,426.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,276.00 / $12,506.00 / $25,695.00
| Facility | | $6,276.00 | $12,506.00 | $25,695.00 |