- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.19 / $1,885.84 / $10,086.00
| Facility | | $346.19 | $1,885.84 | $10,086.00 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $212.28 / $244.09 / $259.64
| Facility | 54 | $212.28 | $244.09 | $259.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $126.73 / $128.77 / $323.00
| Facility | | $126.73 | $128.77 | $323.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,438.00 / $2,403.00 / $4,241.00
| Facility | | $1,438.00 | $2,403.00 | $4,241.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $366.00 / $1,950.00 / $5,107.00
| Facility | | $366.00 | $1,950.00 | $5,107.00 |