- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,181.00 / $2,315.01 / $5,600.00
| Facility | | $1,181.00 | $2,315.01 | $5,600.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $953.00 / $1,097.35 / $1,286.91
| Facility | 52 | $953.00 | $1,097.35 | $1,286.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,242.09 / $9,242.09 / $11,090.51
| Facility | | $9,242.09 | $9,242.09 | $11,090.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,708.64 / $1,708.64 / $1,708.64
| Facility | | $1,708.64 | $1,708.64 | $1,708.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,896.00 / $5,455.00 / $12,152.00
| Facility | | $2,896.00 | $5,455.00 | $12,152.00 |