- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,241.22 / $11,611.47 / $24,068.03
| Facility | | $4,241.22 | $11,611.47 | $24,068.03 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $547.64 / $547.64 / $547.64
| Facility | 54 | $547.64 | $547.64 | $547.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,007.90 / $3,924.55 / $7,652.58
| Facility | | $3,007.90 | $3,924.55 | $7,652.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,821.47 / $1,821.47 / $1,821.47
| Facility | | $1,821.47 | $1,821.47 | $1,821.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $734.98 / $1,553.04 / $6,887.55
| Facility | | $734.98 | $1,553.04 | $6,887.55 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $4,569.92 / $4,569.92 / $4,569.92
| Facility | 54 | $4,569.92 | $4,569.92 | $4,569.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,284.60 / $1,932.00 / $2,405.17
| Facility | | $1,284.60 | $1,932.00 | $2,405.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |