- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $900.00 / $3,083.00 / $9,768.78
| Facility | | $900.00 | $3,083.00 | $9,768.78 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $515.26 / $528.58 / $588.55
| Facility | 52 | $515.26 | $528.58 | $588.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,656.43 / $8,162.33 / $12,493.21
| Facility | | $3,656.43 | $8,162.33 | $12,493.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $667.32 / $5,629.29 / $5,629.29
| Facility | | $667.32 | $5,629.29 | $5,629.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $725.00 / $2,145.00 / $6,240.00
| Facility | | $725.00 | $2,145.00 | $6,240.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $645.72 / $645.72 / $645.72
| Facility | 52 | $645.72 | $645.72 | $645.72 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $80.72 / $80.72 / $80.72
| Facility | AS | $80.72 | $80.72 | $80.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,200.00 / $5,780.00 / $12,805.00
| Facility | | $1,200.00 | $5,780.00 | $12,805.00 |