- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $5,000.27 / $7,838.38
| Facility | | $1,000.00 | $5,000.27 | $7,838.38 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $154.38 / $154.38 / $154.38
| Facility | 52 | $154.38 | $154.38 | $154.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,709.45 / $4,212.64 / $6,870.27
| Facility | | $1,709.45 | $4,212.64 | $6,870.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $325.48 / $325.48 / $4,977.74
| Facility | | $325.48 | $325.48 | $4,977.74 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $254.41 / $254.41 / $254.41
| Facility | 52 | $254.41 | $254.41 | $254.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $268.41 / $314.52 / $707.99
| Facility | | $268.41 | $314.52 | $707.99 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $254.41 / $254.41 / $254.41
| Facility | 52 | $254.41 | $254.41 | $254.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $755.00 / $3,085.00 / $5,060.00
| Facility | | $755.00 | $3,085.00 | $5,060.00 |