- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,170.00 / $3,034.00 / $7,960.15
| Facility | | $1,170.00 | $3,034.00 | $7,960.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $438.60 / $1,640.88 / $2,700.74
| Facility | | $438.60 | $1,640.88 | $2,700.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,274.56 / $31,274.56 / $31,274.56
| Facility | | $31,274.56 | $31,274.56 | $31,274.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $775.08 / $1,134.32 / $21,486.00
| Facility | | $775.08 | $1,134.32 | $21,486.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $1,658.36 / $73,014.52 / $73,014.52
| Facility | 52 | $1,658.36 | $73,014.52 | $73,014.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,990.00 / $13,962.00 / $24,205.00
| Facility | | $3,990.00 | $13,962.00 | $24,205.00 |