- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.46 / $4,348.62 / $9,708.20
| Facility | | $426.46 | $4,348.62 | $9,708.20 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $113.22 / $151.22 / $188.26
| Facility | 52 | $113.22 | $151.22 | $188.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $453.24 / $842.52 / $1,675.01
| Facility | | $453.24 | $842.52 | $1,675.01 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $204.01 / $204.01 / $204.01
| Facility | 52 | $204.01 | $204.01 | $204.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $226.44 / $382.82 / $478.73
| Facility | | $226.44 | $382.82 | $478.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $393.00 / $650.00 / $4,824.00
| Facility | | $393.00 | $650.00 | $4,824.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,265.64 / $4,901.45 / $16,394.00
| Facility | | $1,265.64 | $4,901.45 | $16,394.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $418.95 / $3,716.72 / $3,716.72
| Facility | 52 | $418.95 | $3,716.72 | $3,716.72 |