- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $680.15 / $945.74 / $3,643.57
| Professional | | $680.15 | $945.74 | $3,643.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,116.80 / $1,116.80 / $1,116.80
| Facility | | $1,116.80 | $1,116.80 | $1,116.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $592.07 / $1,116.80 / $1,148.29
| Professional | | $592.07 | $1,116.80 | $1,148.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $553.72 / $761.37 / $1,116.80
| Facility | | $553.72 | $761.37 | $1,116.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $662.85 / $1,104.82 / $1,436.19
| Professional | | $662.85 | $1,104.82 | $1,436.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $942.35 / $1,126.32 / $1,283.20
| Professional | | $942.35 | $1,126.32 | $1,283.20 |