- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,453.83 / $7,365.00 / $18,600.00
| Facility | | $1,453.83 | $7,365.00 | $18,600.00 |
- Facility/Professional
- Facility
- Modifier
- 53
- Low / Median / High Price
- $153.61 / $153.61 / $282.26
| Facility | 53 | $153.61 | $153.61 | $282.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,562.00 / $7,787.79 / $17,264.38
| Facility | | $5,562.00 | $7,787.79 | $17,264.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,573.00 / $10,972.00 / $34,239.00
| Facility | | $7,573.00 | $10,972.00 | $34,239.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $640.03 / $1,411.31 / $11,642.00
| Facility | | $640.03 | $1,411.31 | $11,642.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,269.00 / $6,407.00 / $20,308.00
| Facility | | $2,269.00 | $6,407.00 | $20,308.00 |