- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $284.75 / $3,500.97 / $10,394.50
| Facility | | $284.75 | $3,500.97 | $10,394.50 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $119.77 / $293.14 / $639.70
| Facility | 52 | $119.77 | $293.14 | $639.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,614.00 / $9,200.00 / $18,942.00
| Facility | | $1,614.00 | $9,200.00 | $18,942.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $224.11 / $285.64 / $1,577.37
| Facility | | $224.11 | $285.64 | $1,577.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,158.09 / $2,158.09 / $2,158.09
| Facility | | $2,158.09 | $2,158.09 | $2,158.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,364.00 / $6,094.00 / $10,413.00
| Facility | | $3,364.00 | $6,094.00 | $10,413.00 |