- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,166.29 / $5,463.36 / $13,841.56
| Facility | | $2,166.29 | $5,463.36 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $370.63 / $370.63 / $370.63
| Facility | 52 | $370.63 | $370.63 | $370.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,283.48 / $11,226.25 / $21,074.53
| Facility | | $8,283.48 | $11,226.25 | $21,074.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $791.94 / $1,408.39 / $29,797.02
| Facility | | $791.94 | $1,408.39 | $29,797.02 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $73,014.52 / $73,014.52 / $73,014.52
| Facility | 52 | $73,014.52 | $73,014.52 | $73,014.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,411.00 / $1,903.25 / $32,254.72
| Facility | | $1,411.00 | $1,903.25 | $32,254.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,617.00 / $11,459.00 / $26,782.00
| Facility | | $9,617.00 | $11,459.00 | $26,782.00 |