- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $753.87 / $4,983.00 / $11,576.00
| Facility | | $753.87 | $4,983.00 | $11,576.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $361.58 / $376.54 / $384.35
| Facility | 52 | $361.58 | $376.54 | $384.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $494.00 / $16,901.90 / $20,121.32
| Facility | | $494.00 | $16,901.90 | $20,121.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,979.00 / $12,759.00 / $23,031.00
| Facility | | $5,979.00 | $12,759.00 | $23,031.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,194.00 / $21,792.00 / $45,656.00
| Facility | | $8,194.00 | $21,792.00 | $45,656.00 |