- 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
- $931.75 / $931.75 / $931.75
| Facility | 52 | $931.75 | $931.75 | $931.75 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $116.47 / $116.47 / $116.47
| Facility | AS | $116.47 | $116.47 | $116.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,024.47 / $1,258.00 / $1,752.29
| Professional | | $1,024.47 | $1,258.00 | $1,752.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $303.00 / $362.00 / $1,109.00
| Facility | | $303.00 | $362.00 | $1,109.00 |