- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $7,762.47 / $7,762.47
| Facility | | $1,445.44 | $7,762.47 | $7,762.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $478.63 / $1,202.26 / $2,089.30
| Professional | | $478.63 | $1,202.26 | $2,089.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.26 / $85.11 / $1,905.46
| Professional | | $60.26 | $85.11 | $1,905.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $1,148.15 / $2,454.71
| Facility | | $562.34 | $1,148.15 | $2,454.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $645.65 / $6,606.93 / $14,125.38
| Facility | | $645.65 | $6,606.93 | $14,125.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,238.72 / $2,951.21 / $4,365.16
| Professional | | $2,238.72 | $2,951.21 | $4,365.16 |