- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,019.71 / $5,845.00 / $31,581.00
| Facility | | $2,019.71 | $5,845.00 | $31,581.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $990.94 / $1,223.80 / $1,686.62
| Facility | 52 | $990.94 | $1,223.80 | $1,686.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,826.00 / $12,447.00 / $58,963.00
| Facility | | $4,826.00 | $12,447.00 | $58,963.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,688.01 / $2,688.01 / $37,499.62
| Facility | | $2,688.01 | $2,688.01 | $37,499.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.96 / $2,155.96 / $43,302.00
| Facility | | $2,155.96 | $2,155.96 | $43,302.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $1,701.26 / $1,701.26 / $1,701.26
| Facility | 52 | $1,701.26 | $1,701.26 | $1,701.26 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $212.66 / $212.66 / $212.66
| Facility | AS | $212.66 | $212.66 | $212.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $332.00 / $2,804.00 / $5,040.07
| Facility | | $332.00 | $2,804.00 | $5,040.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,770.48 / $1,770.48 / $1,770.48
| Facility | | $1,770.48 | $1,770.48 | $1,770.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,433.99 / $20,433.99 / $24,892.79
| Facility | | $20,433.99 | $20,433.99 | $24,892.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $555.00 / $2,155.96 / $54,793.00
| Facility | | $555.00 | $2,155.96 | $54,793.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $1,701.26 / $1,701.26 / $1,701.26
| Facility | 52 | $1,701.26 | $1,701.26 | $1,701.26 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $212.66 / $212.66 / $212.66
| Facility | AS | $212.66 | $212.66 | $212.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,673.00 / $11,223.00 / $41,432.00
| Facility | | $2,673.00 | $11,223.00 | $41,432.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,260.27 / $2,260.27 / $8,980.37
| Facility | | $2,260.27 | $2,260.27 | $8,980.37 |