- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,449.00 / $4,790.00 / $11,624.00
| Facility | | $1,449.00 | $4,790.00 | $11,624.00 |
- Facility/Professional
- Facility
- Modifier
- 53
- Low / Median / High Price
- $305.45 / $331.92 / $338.20
| Facility | 53 | $305.45 | $331.92 | $338.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.00 / $400.00 / $10,000.00
| Facility | | $323.00 | $400.00 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,848.00 / $23,046.00 / $45,285.00
| Facility | | $9,848.00 | $23,046.00 | $45,285.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $677.00 / $5,417.00 / $13,093.00
| Facility | | $677.00 | $5,417.00 | $13,093.00 |