- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $643.66 / $1,072.21 / $21,914.00
| Facility | | $643.66 | $1,072.21 | $21,914.00 |
- Facility/Professional
- Facility
- Modifier
- 53
- Low / Median / High Price
- $128.72 / $128.72 / $214.44
| Facility | 53 | $128.72 | $128.72 | $214.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,023.00 / $24,040.00 / $31,898.00
| Facility | | $16,023.00 | $24,040.00 | $31,898.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $547.11 / $764.54 / $1,238.76
| Facility | | $547.11 | $764.54 | $1,238.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,688.00 / $15,870.00 / $25,999.00
| Facility | | $6,688.00 | $15,870.00 | $25,999.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,385.51 / $5,385.51 / $31,754.00
| Facility | | $5,385.51 | $5,385.51 | $31,754.00 |
- Facility/Professional
- Facility
- Modifier
- 53
- Low / Median / High Price
- $286.20 / $286.20 / $6,350.80
| Facility | 53 | $286.20 | $286.20 | $6,350.80 |