- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $478.63 / $2,884.03 / $3,890.45
| Facility | | $478.63 | $2,884.03 | $3,890.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $316.23 / $316.23 / $602.56
| Professional | | $316.23 | $316.23 | $602.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $691.83 / $724.44
| Facility | | $562.34 | $691.83 | $724.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $549.54 / $1,071.52
| Professional | | $30.20 | $549.54 | $1,071.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602.56 / $724.44 / $1,548.82
| Facility | | $602.56 | $724.44 | $1,548.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $380.19 / $512.86 / $575.44
| Professional | | $380.19 | $512.86 | $575.44 |