- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.83 / $1,360.45 / $5,350.00
| Facility | | $165.83 | $1,360.45 | $5,350.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $50.11 / $50.11 / $629.15
| Facility | 52 | $50.11 | $50.11 | $629.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $886.47 / $2,078.73 / $8,753.85
| Facility | | $886.47 | $2,078.73 | $8,753.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $308.50 / $1,561.52 / $5,958.00
| Facility | | $308.50 | $1,561.52 | $5,958.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $50.11 / $50.11 / $629.15
| Facility | 52 | $50.11 | $50.11 | $629.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.88 / $738.39 / $1,129.50
| Facility | | $92.88 | $738.39 | $1,129.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.00 / $577.00 / $3,742.00
| Facility | | $162.00 | $577.00 | $3,742.00 |