- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $109.65 / $162.18 / $416.87
| Facility | 26 | $109.65 | $162.18 | $416.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $331.13 / $524.81 / $2,089.30
| Professional | | $331.13 | $524.81 | $2,089.30 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $102.33 / $181.97 / $489.78
| Professional | 26 | $102.33 | $181.97 | $489.78 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $218.78 / $338.84 / $851.14
| Professional | TC | $218.78 | $338.84 | $851.14 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $123.03 / $123.03 / $123.03
| Facility | 26 | $123.03 | $123.03 | $123.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $323.59 / $537.03 / $1,380.38
| Professional | | $323.59 | $537.03 | $1,380.38 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $104.71 / $147.91 / $269.15
| Professional | 26 | $104.71 | $147.91 | $269.15 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $229.09 / $380.19 / $1,148.15
| Professional | TC | $229.09 | $380.19 | $1,148.15 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $26.92 / $141.25 / $346.74
| Facility | 26 | $26.92 | $141.25 | $346.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $309.03 / $630.96 / $1,412.54
| Professional | | $309.03 | $630.96 | $1,412.54 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $89.13 / $154.88 / $309.03
| Professional | 26 | $89.13 | $154.88 | $309.03 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $213.80 / $446.68 / $1,148.15
| Professional | TC | $213.80 | $446.68 | $1,148.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $316.23 / $524.81 / $1,174.90
| Professional | | $316.23 | $524.81 | $1,174.90 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $93.33 / $123.03 / $239.88
| Professional | 26 | $93.33 | $123.03 | $239.88 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $213.80 / $363.08 / $954.99
| Professional | TC | $213.80 | $363.08 | $954.99 |