- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,949.84 / $8,317.64 / $32,359.37
| Facility | | $1,949.84 | $8,317.64 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $38,018.94 / $38,018.94 / $38,018.94
| Facility | 52 | $38,018.94 | $38,018.94 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $21,379.62 / $57,543.99
| Facility | | $20,417.38 | $21,379.62 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $23,442.29 / $48,977.88
| Facility | | $8,709.64 | $23,442.29 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $1,412.54 / $1,412.54 / $1,412.54
| Facility | 22 | $1,412.54 | $1,412.54 | $1,412.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,513.56 / $7,585.78 / $28,183.83
| Facility | | $1,513.56 | $7,585.78 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $38,018.94 / $38,018.94 / $38,018.94
| Facility | 52 | $38,018.94 | $38,018.94 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,187.76 / $2,187.76 / $2,884.03
| Facility | | $2,187.76 | $2,187.76 | $2,884.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,148.15 / $3,019.95 / $4,365.16
| Facility | | $1,148.15 | $3,019.95 | $4,365.16 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $2,818.38 / $2,884.03 / $2,884.03
| Facility | 62 | $2,818.38 | $2,884.03 | $2,884.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $8,128.31 / $33,113.11
| Facility | | $3,311.31 | $8,128.31 | $33,113.11 |