- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,264.30 / $6,930.00 / $29,886.00
| Facility | | $1,264.30 | $6,930.00 | $29,886.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $582.66 / $631.49 / $867.33
| Facility | 52 | $582.66 | $631.49 | $867.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.00 / $400.00 / $10,000.00
| Facility | | $323.00 | $400.00 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,460.00 / $21,065.00 / $32,051.00
| Facility | | $9,460.00 | $21,065.00 | $32,051.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,368.00 / $20,046.00 / $43,358.00
| Facility | | $7,368.00 | $20,046.00 | $43,358.00 |