- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,013.00 / $6,093.57 / $19,706.25
| Facility | | $1,013.00 | $6,093.57 | $19,706.25 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $322.44 / $3,403.62 / $4,280.22
| Facility | 52 | $322.44 | $3,403.62 | $4,280.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,850.00 / $16,455.00 / $36,032.05
| Facility | | $8,850.00 | $16,455.00 | $36,032.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,282.56 / $21,211.46 / $47,598.83
| Facility | | $6,282.56 | $21,211.46 | $47,598.83 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $10,113.41 / $16,701.06 / $153,950.15
| Facility | 52 | $10,113.41 | $16,701.06 | $153,950.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,136.94 / $6,493.04 / $13,539.00
| Facility | | $1,136.94 | $6,493.04 | $13,539.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $322.44 / $2,965.97 / $4,280.22
| Facility | 52 | $322.44 | $2,965.97 | $4,280.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $644.89 / $644.89 / $870.53
| Facility | | $644.89 | $644.89 | $870.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,304.00 / $4,563.00 / $8,261.00
| Facility | | $2,304.00 | $4,563.00 | $8,261.00 |