- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,449.00 / $9,331.04 / $16,947.00
| Facility | | $1,449.00 | $9,331.04 | $16,947.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $280.22 / $297.73 / $523.58
| Facility | 52 | $280.22 | $297.73 | $523.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,880.16 / $11,754.00 / $30,357.00
| Facility | | $4,880.16 | $11,754.00 | $30,357.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,979.00 / $12,742.00 / $23,031.00
| Facility | | $5,979.00 | $12,742.00 | $23,031.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,072.00 / $12,923.00 / $19,866.00
| Facility | | $4,072.00 | $12,923.00 | $19,866.00 |