- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,386.00 / $10,985.00 / $32,945.47
| Facility | | $1,386.00 | $10,985.00 | $32,945.47 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $807.90 / $807.90 / $11,716.35
| Facility | 52 | $807.90 | $807.90 | $11,716.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,000.00 / $36,586.50 / $50,348.10
| Facility | | $15,000.00 | $36,586.50 | $50,348.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,602.44 / $2,199.42 / $3,299.15
| Facility | | $1,602.44 | $2,199.42 | $3,299.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,475.00 / $13,735.00 / $22,576.00
| Facility | | $6,475.00 | $13,735.00 | $22,576.00 |