- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $851.14 / $4,365.16
| Facility | | $851.14 | $851.14 | $4,365.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $1,174.90 / $2,290.87
| Facility | | $1,000.00 | $1,174.90 | $2,290.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,819.70 / $1,905.46 / $1,949.84
| Professional | | $1,819.70 | $1,905.46 | $1,949.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,122.02 / $1,479.11 / $1,659.59
| Professional | | $1,122.02 | $1,479.11 | $1,659.59 |
- Facility/Professional
- Professional
- Modifier
- 80
- Low / Median / High Price
- $331.13 / $331.13 / $331.13
| Professional | 80 | $331.13 | $331.13 | $331.13 |
- Facility/Professional
- Professional
- Modifier
- AS
- Low / Median / High Price
- $331.13 / $331.13 / $331.13
| Professional | AS | $331.13 | $331.13 | $331.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $1,995.26 / $1,995.26
| Facility | | $1,995.26 | $1,995.26 | $1,995.26 |