- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $687.94 / $5,839.00 / $11,576.00
| Facility | | $687.94 | $5,839.00 | $11,576.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $313.13 / $337.95 / $363.67
| Facility | 52 | $313.13 | $337.95 | $363.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.00 / $400.00 / $10,000.00
| Facility | | $323.00 | $400.00 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,624.00 / $21,162.00 / $32,051.00
| Facility | | $9,624.00 | $21,162.00 | $32,051.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $677.00 / $5,350.00 / $13,093.00
| Facility | | $677.00 | $5,350.00 | $13,093.00 |