- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,874.89 / $6,313.81 / $17,036.44
| Facility | | $1,874.89 | $6,313.81 | $17,036.44 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $891.74 / $995.06 / $1,645.33
| Facility | 52 | $891.74 | $995.06 | $1,645.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,745.00 / $26,450.00 / $49,288.00
| Facility | | $11,745.00 | $26,450.00 | $49,288.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,984.25 / $1,984.25 / $2,052.58
| Facility | | $1,984.25 | $1,984.25 | $2,052.58 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $1,569.13 / $1,569.13 / $1,569.13
| Facility | 52 | $1,569.13 | $1,569.13 | $1,569.13 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $196.14 / $196.14 / $196.14
| Facility | AS | $196.14 | $196.14 | $196.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,858.50 / $10,657.50 / $21,940.00
| Facility | | $3,858.50 | $10,657.50 | $21,940.00 |