- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,652.78 / $24,208.76 / $32,042.25
| Facility | | $8,652.78 | $24,208.76 | $32,042.25 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $326.80 / $326.80 / $326.80
| Facility | 52 | $326.80 | $326.80 | $326.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $631.91 / $853.09 / $1,042.67
| Facility | | $631.91 | $853.09 | $1,042.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $753.78 / $753.78 / $753.78
| Facility | | $753.78 | $753.78 | $753.78 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $589.65 / $589.65 / $589.65
| Facility | 52 | $589.65 | $589.65 | $589.65 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $73.70 / $73.70 / $73.70
| Facility | AS | $73.70 | $73.70 | $73.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,233.50 / $13,621.19 / $47,404.78
| Facility | | $8,233.50 | $13,621.19 | $47,404.78 |