- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $209.36 / $2,747.00 / $10,086.00
| Facility | | $209.36 | $2,747.00 | $10,086.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $61.50 / $99.04 / $120.27
| Facility | 52 | $61.50 | $99.04 | $120.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.00 / $789.58 / $939.97
| Facility | | $323.00 | $789.58 | $939.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,561.00 / $4,821.00 / $9,360.00
| Facility | | $2,561.00 | $4,821.00 | $9,360.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $803.00 / $3,611.00 / $8,105.00
| Facility | | $803.00 | $3,611.00 | $8,105.00 |