- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,905.46 / $1,905.46 / $4,365.16
| Facility | | $1,905.46 | $1,905.46 | $4,365.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $3,235.94 / $5,370.32
| Facility | | $2,344.23 | $3,235.94 | $5,370.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4,365.16 / $4,466.84 / $4,677.35
| Professional | | $4,365.16 | $4,466.84 | $4,677.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,398.83 / $3,548.13 / $4,168.69
| Professional | | $2,398.83 | $3,548.13 | $4,168.69 |
- Facility/Professional
- Professional
- Modifier
- AS
- Low / Median / High Price
- $812.83 / $812.83 / $812.83
| Professional | AS | $812.83 | $812.83 | $812.83 |
- 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 |