- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,202.26 / $1,202.26 / $4,365.16
| Facility | | $1,202.26 | $1,202.26 | $4,365.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,096.48 / $1,659.59 / $3,467.37
| Facility | | $1,096.48 | $1,659.59 | $3,467.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,951.21 / $3,019.95 / $3,235.94
| Professional | | $2,951.21 | $3,019.95 | $3,235.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,479.11 / $2,187.76 / $2,630.27
| Professional | | $1,479.11 | $2,187.76 | $2,630.27 |
- Facility/Professional
- Professional
- Modifier
- 80
- Low / Median / High Price
- $512.86 / $512.86 / $512.86
| Professional | 80 | $512.86 | $512.86 | $512.86 |
- Facility/Professional
- Professional
- Modifier
- AS
- Low / Median / High Price
- $512.86 / $512.86 / $512.86
| Professional | AS | $512.86 | $512.86 | $512.86 |
- 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 |