- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $649.86 / $6,638.67 / $13,197.75
| Facility | | $649.86 | $6,638.67 | $13,197.75 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $324.93 / $324.93 / $8,837.32
| Facility | 52 | $324.93 | $324.93 | $8,837.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,326.23 / $9,837.79 / $20,505.30
| Facility | | $3,326.23 | $9,837.79 | $20,505.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,516.06 / $2,366.17 / $5,692.16
| Facility | | $1,516.06 | $2,366.17 | $5,692.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,313.80 / $2,159.29 / $4,482.01
| Facility | | $1,313.80 | $2,159.29 | $4,482.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $755.25 / $1,472.89 / $9,370.00
| Facility | | $755.25 | $1,472.89 | $9,370.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,437.00 / $9,370.00 / $12,774.00
| Facility | | $3,437.00 | $9,370.00 | $12,774.00 |