- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $143.52 / $1,588.17 / $4,862.00
| Facility | | $143.52 | $1,588.17 | $4,862.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $39.97 / $71.76 / $168.59
| Facility | 52 | $39.97 | $71.76 | $168.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $668.02 / $1,479.00 / $1,479.01
| Facility | | $668.02 | $1,479.00 | $1,479.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.93 / $148.22 / $228.80
| Facility | | $79.93 | $148.22 | $228.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $384.00 / $1,138.00 / $2,922.00
| Facility | | $384.00 | $1,138.00 | $2,922.00 |