- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602.00 / $3,276.00 / $10,632.00
| Facility | | $602.00 | $3,276.00 | $10,632.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $61.01 / $64.83 / $68.38
| Facility | 52 | $61.01 | $64.83 | $68.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $160.19 / $861.35 / $2,213.00
| Facility | | $160.19 | $861.35 | $2,213.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $125.57 / $125.57 / $125.57
| Facility | 52 | $125.57 | $125.57 | $125.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,979.00 / $5,611.00 / $11,030.00
| Facility | | $2,979.00 | $5,611.00 | $11,030.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $573.00 / $3,514.00 / $7,044.00
| Facility | | $573.00 | $3,514.00 | $7,044.00 |