- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $738.00 / $1,199.42 / $4,623.00
| Facility | | $738.00 | $1,199.42 | $4,623.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $512.96 / $545.86 / $599.71
| Facility | 52 | $512.96 | $545.86 | $599.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,610.15 / $19,610.15 / $23,532.18
| Facility | | $19,610.15 | $19,610.15 | $23,532.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,581.49 / $16,581.49 / $16,581.49
| Facility | | $16,581.49 | $16,581.49 | $16,581.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,079.00 / $8,101.00 / $15,899.00
| Facility | | $3,079.00 | $8,101.00 | $15,899.00 |