- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,645.41 / $1,645.41 / $4,113.52
| Facility | | $1,645.41 | $1,645.41 | $4,113.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,645.41 / $1,645.41 / $1,748.25
| Professional | | $1,645.41 | $1,645.41 | $1,748.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $867.81 / $1,195.17 / $2,125.32
| Facility | | $867.81 | $1,195.17 | $2,125.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $762.22 / $802.34 / $962.81
| Professional | | $762.22 | $802.34 | $962.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,485.09 / $1,748.25 / $1,748.25
| Professional | | $1,485.09 | $1,748.25 | $1,748.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,681.65 / $1,851.08 / $3,044.01
| Facility | | $1,681.65 | $1,851.08 | $3,044.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,645.41 / $1,816.81 / $2,180.17
| Professional | | $1,645.41 | $1,816.81 | $2,180.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.00 / $30.00 / $55.00
| Professional | | $30.00 | $30.00 | $55.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,713.97 / $1,713.97 / $1,851.09
| Professional | | $1,713.97 | $1,713.97 | $1,851.09 |