- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $126.35 / $1,722.48 / $4,933.00
| Facility | | $126.35 | $1,722.48 | $4,933.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $60.84 / $63.18 / $683.53
| Facility | 52 | $60.84 | $63.18 | $683.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,858.13 / $7,993.40 / $10,829.78
| Facility | | $6,858.13 | $7,993.40 | $10,829.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $744.01 / $1,391.65 / $4,933.00
| Facility | | $744.01 | $1,391.65 | $4,933.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $60.84 / $60.84 / $658.21
| Facility | 52 | $60.84 | $60.84 | $658.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $464.00 / $1,428.00 / $2,029.00
| Facility | | $464.00 | $1,428.00 | $2,029.00 |