- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $582.00 / $629.00 / $2,530.00
| Facility | | $582.00 | $629.00 | $2,530.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $1,108.61 / $1,108.61 / $1,108.61
| Facility | 52 | $1,108.61 | $1,108.61 | $1,108.61 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $138.58 / $138.58 / $138.58
| Facility | AS | $138.58 | $138.58 | $138.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,218.76 / $1,547.83 / $2,079.46
| Professional | | $1,218.76 | $1,547.83 | $2,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $303.00 / $362.00 / $1,109.00
| Facility | | $303.00 | $362.00 | $1,109.00 |