- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,814.76 / $3,001.45 / $4,682.26
| Facility | | $2,814.76 | $3,001.45 | $4,682.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,527.54 / $2,527.54 / $3,751.81
| Professional | | $2,527.54 | $2,527.54 | $3,751.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,215.55 / $2,215.55 / $2,215.55
| Facility | | $2,215.55 | $2,215.55 | $2,215.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,104.77 / $2,215.55 / $2,464.35
| Professional | | $2,104.77 | $2,215.55 | $2,464.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3,850.40 / $3,850.40 / $4,813.00
| Professional | | $3,850.40 | $3,850.40 | $4,813.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,001.45 / $3,001.45 / $5,515.16
| Facility | | $3,001.45 | $3,001.45 | $5,515.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3,033.04 / $3,033.04 / $3,791.30
| Professional | | $3,033.04 | $3,033.04 | $3,791.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,159.42 / $3,159.42 / $3,791.30
| Facility | | $3,159.42 | $3,159.42 | $3,791.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,326.96 / $1,895.65 / $3,159.42
| Professional | | $1,326.96 | $1,895.65 | $3,159.42 |