- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,134.00 / $21,419.78 / $76,072.32
| Facility | | $7,134.00 | $21,419.78 | $76,072.32 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $730.19 / $730.19 / $730.19
| Facility | 52 | $730.19 | $730.19 | $730.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,139.08 / $1,537.77 / $1,879.50
| Facility | | $1,139.08 | $1,537.77 | $1,879.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,358.98 / $1,358.98 / $1,358.98
| Facility | | $1,358.98 | $1,358.98 | $1,358.98 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $1,059.70 / $1,059.70 / $1,059.70
| Facility | 52 | $1,059.70 | $1,059.70 | $1,059.70 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $827.89 / $827.89 / $827.89
| Facility | 62 | $827.89 | $827.89 | $827.89 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $132.46 / $132.46 / $132.46
| Facility | AS | $132.46 | $132.46 | $132.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,568.65 / $44,244.48 / $80,737.75
| Facility | | $18,568.65 | $44,244.48 | $80,737.75 |