- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $708.53 / $3,259.25 / $12,765.09
| Facility | | $708.53 | $3,259.25 | $12,765.09 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $30.77 / $30.77 / $56.14
| Facility | 52 | $30.77 | $30.77 | $56.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,641.59 / $10,356.32 / $19,441.45
| Facility | | $7,641.59 | $10,356.32 | $19,441.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.45 / $178.31 / $670.50
| Facility | | $78.45 | $178.31 | $670.50 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $237.37 / $237.37 / $237.37
| Facility | 52 | $237.37 | $237.37 | $237.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $142.65 / $225.14 / $361.25
| Facility | | $142.65 | $225.14 | $361.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,056.00 / $1,527.00 / $4,317.00
| Facility | | $1,056.00 | $1,527.00 | $4,317.00 |