- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $7,838.38 / $8,226.04
| Facility | | $1,000.00 | $7,838.38 | $8,226.04 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $739.41 / $739.41 / $739.41
| Facility | 52 | $739.41 | $739.41 | $739.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,799.99 / $68,899.99 / $81,099.99
| Facility | | $56,799.99 | $68,899.99 | $81,099.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,409.38 / $1,879.13 / $3,758.70
| Facility | | $1,409.38 | $1,879.13 | $3,758.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,657.00 / $21,608.00 / $23,542.00
| Facility | | $1,657.00 | $21,608.00 | $23,542.00 |