- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $999.85 / $2,276.54 / $16,467.00
| Facility | | $999.85 | $2,276.54 | $16,467.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $499.93 / $1,138.27 / $1,138.27
| Facility | 52 | $499.93 | $1,138.27 | $1,138.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $560.00 / $615.00
| Facility | | $100.00 | $560.00 | $615.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $761.45 / $761.45 / $761.45
| Facility | 52 | $761.45 | $761.45 | $761.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $854.91 / $1,016.02 / $1,704.64
| Facility | | $854.91 | $1,016.02 | $1,704.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $600.00 / $5,871.00 / $8,973.00
| Facility | | $600.00 | $5,871.00 | $8,973.00 |