- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,545.58 / $1,545.58 / $1,545.58
| Facility | | $1,545.58 | $1,545.58 | $1,545.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,545.58 / $1,545.58 / $1,545.58
| Professional | | $1,545.58 | $1,545.58 | $1,545.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $660.66 / $660.66 / $660.66
| Professional | | $660.66 | $660.66 | $660.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,545.58 / $1,545.58 / $2,596.57
| Facility | | $1,545.58 | $1,545.58 | $2,596.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $155.00 / $155.00 / $329.00
| Professional | | $155.00 | $155.00 | $329.00 |