- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $936.00 / $2,010.00 / $4,782.75
| Facility | | $936.00 | $2,010.00 | $4,782.75 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $788.69 / $788.69 / $1,910.74
| Facility | 52 | $788.69 | $788.69 | $1,910.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,220.00 / $17,220.00 / $18,942.00
| Facility | | $17,220.00 | $17,220.00 | $18,942.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $1,000.00 / $16,500.00
| Facility | | $1,000.00 | $1,000.00 | $16,500.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,360.00 / $9,268.00 / $18,451.00
| Facility | | $1,360.00 | $9,268.00 | $18,451.00 |