- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,218.00 / $3,795.64 / $7,119.04
| Facility | | $2,218.00 | $3,795.64 | $7,119.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $506.00 / $1,126.00 / $1,856.21
| Professional | | $506.00 | $1,126.00 | $1,856.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $173.74 / $173.74 / $217.17
| Professional | | $173.74 | $173.74 | $217.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $150.00 / $150.00 / $150.00
| Professional | | $150.00 | $150.00 | $150.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $374.06 / $789.06 / $2,126.00
| Facility | | $374.06 | $789.06 | $2,126.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,204.00 / $1,640.00 / $2,126.00
| Facility | | $1,204.00 | $1,640.00 | $2,126.00 |