- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $435.79 / $3,127.38 / $8,956.00
| Facility | | $435.79 | $3,127.38 | $8,956.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $119.07 / $604.08 / $1,569.31
| Facility | 52 | $119.07 | $604.08 | $1,569.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,760.00 / $3,528.00 / $14,996.00
| Facility | | $1,760.00 | $3,528.00 | $14,996.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $227.79 / $273.35 / $338.33
| Facility | | $227.79 | $273.35 | $338.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,021.66 / $3,940.47 / $5,794.56
| Facility | | $1,021.66 | $3,940.47 | $5,794.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,233.00 / $4,383.00 / $6,522.00
| Facility | | $2,233.00 | $4,383.00 | $6,522.00 |