- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $832.00 / $2,629.30 / $7,936.23
| Facility | | $832.00 | $2,629.30 | $7,936.23 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $70.11 / $73.86 / $73.86
| Facility | 52 | $70.11 | $73.86 | $73.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.69 / $3,159.00 / $14,886.03
| Facility | | $2,344.69 | $3,159.00 | $14,886.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $429.00 / $1,235.59 / $2,434.58
| Facility | | $429.00 | $1,235.59 | $2,434.58 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $125.57 / $125.57 / $125.57
| Facility | 52 | $125.57 | $125.57 | $125.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $311.30 / $311.30 / $311.30
| Facility | | $311.30 | $311.30 | $311.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,072.74 / $3,072.74 / $6,086.09
| Facility | | $3,072.74 | $3,072.74 | $6,086.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $760.00 / $2,679.00 / $8,017.00
| Facility | | $760.00 | $2,679.00 | $8,017.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $73.86 / $73.86 / $73.86
| Facility | 52 | $73.86 | $73.86 | $73.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $195.30 / $195.30 / $195.30
| Facility | | $195.30 | $195.30 | $195.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $160.19 / $1,225.90 / $2,316.65
| Facility | | $160.19 | $1,225.90 | $2,316.65 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $125.57 / $125.57 / $125.57
| Facility | 52 | $125.57 | $125.57 | $125.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $136.90 / $136.90 / $230.30
| Facility | | $136.90 | $136.90 | $230.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $550.00 / $1,728.00 / $4,300.00
| Facility | | $550.00 | $1,728.00 | $4,300.00 |