- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $3,388.44 / $5,623.41
| Facility | | $2,344.23 | $3,388.44 | $5,623.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $2,454.71 / $43,651.58
| Facility | | $56.23 | $2,454.71 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $36,307.81 / $36,307.81 / $36,307.81
| Facility | 62 | $36,307.81 | $36,307.81 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $741.31 / $1,380.38
| Facility | | $50.12 | $741.31 | $1,380.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $302.00 / $4,365.16 / $8,511.38
| Facility | | $302.00 | $4,365.16 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.12 / $2,454.71 / $4,677.35
| Facility | | $295.12 | $2,454.71 | $4,677.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $2,454.71 / $43,651.58
| Facility | | $56.23 | $2,454.71 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $36,307.81 / $36,307.81 / $36,307.81
| Facility | 62 | $36,307.81 | $36,307.81 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.33 / $2,754.23 / $4,677.35
| Facility | | $794.33 | $2,754.23 | $4,677.35 |