- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $452.59 / $5,341.00 / $12,237.00
| Facility | | $452.59 | $5,341.00 | $12,237.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $161.63 / $161.63 / $216.84
| Facility | 52 | $161.63 | $161.63 | $216.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,282.00 / $2,646.20 / $2,924.74
| Facility | | $1,282.00 | $2,646.20 | $2,924.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,129.00 / $1,464.00 / $1,741.00
| Facility | | $1,129.00 | $1,464.00 | $1,741.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $262.76 / $371.49 / $4,423.00
| Facility | | $262.76 | $371.49 | $4,423.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,037.00 / $3,096.00 / $5,562.00
| Facility | | $1,037.00 | $3,096.00 | $5,562.00 |