- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,671.00 / $4,474.00 / $7,960.15
| Facility | | $1,671.00 | $4,474.00 | $7,960.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,660.00 / $6,198.03 / $10,860.55
| Facility | | $1,660.00 | $6,198.03 | $10,860.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,624.00 / $2,036.35 / $4,124.75
| Facility | | $1,624.00 | $2,036.35 | $4,124.75 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $3,666.16 / $6,724.98 / $6,724.98
| Facility | 52 | $3,666.16 | $6,724.98 | $6,724.98 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $458.27 / $840.62 / $840.62
| Facility | AS | $458.27 | $840.62 | $840.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,314.00 / $2,661.00 / $14,572.00
| Facility | | $1,314.00 | $2,661.00 | $14,572.00 |