- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.07 / $1,277.00 / $3,109.00
| Facility | | $24.07 | $1,277.00 | $3,109.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $12.04 / $15.29 / $19.76
| Facility | 52 | $12.04 | $15.29 | $19.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $839.58 / $839.58 / $957.12
| Facility | | $839.58 | $839.58 | $957.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $366.00 / $471.20 / $643.22
| Facility | | $366.00 | $471.20 | $643.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $505.00 / $1,106.00 / $2,558.00
| Facility | | $505.00 | $1,106.00 | $2,558.00 |