- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $4,570.88 / $10,715.19
| Facility | | $436.52 | $4,570.88 | $10,715.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.36 / $302.00 / $562.34
| Facility | | $32.36 | $302.00 | $562.34 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $26.30 / $26.30 / $26.30
| Facility | 52 | $26.30 | $26.30 | $26.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $3,235.94 / $6,606.93
| Facility | | $2,137.96 | $3,235.94 | $6,606.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $3,311.31 / $6,606.93
| Facility | | $707.95 | $3,311.31 | $6,606.93 |