- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $68.52 / $107.92 / $115.34
| Facility | 26 | $68.52 | $107.92 | $115.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $156.11 / $180.69 / $304.16
| Professional | | $156.11 | $180.69 | $304.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $361.00 / $361.00 / $361.00
| Professional | | $361.00 | $361.00 | $361.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $307.00 / $396.13 / $526.38
| Professional | | $307.00 | $396.13 | $526.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.34 / $32.34 / $252.99
| Professional | | $32.34 | $32.34 | $252.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $280.97 / $346.28 / $551.01
| Professional | | $280.97 | $346.28 | $551.01 |