- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,862.09 / $1,862.09 / $4,365.16
| Facility | | $1,862.09 | $1,862.09 | $4,365.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,290.87 / $2,691.53 / $5,248.07
| Facility | | $2,290.87 | $2,691.53 | $5,248.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4,265.80 / $4,466.84 / $4,570.88
| Professional | | $4,265.80 | $4,466.84 | $4,570.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,398.83 / $3,548.13 / $4,073.80
| Professional | | $2,398.83 | $3,548.13 | $4,073.80 |
- Facility/Professional
- Professional
- Modifier
- AS
- Low / Median / High Price
- $794.33 / $794.33 / $794.33
| Professional | AS | $794.33 | $794.33 | $794.33 |
- 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 |