- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,083.00 / $1,397.00 / $4,478.00
| Facility | | $1,083.00 | $1,397.00 | $4,478.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $545.04 / $565.12 / $681.49
| Facility | 52 | $545.04 | $565.12 | $681.49 |
- 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 / $15,659.00
| Facility | | $3,079.00 | $8,101.00 | $15,659.00 |