- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,380.86 / $8,931.82 / $11,000.30
| Facility | | $7,380.86 | $8,931.82 | $11,000.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,224.23 / $7,889.15 / $8,025.81
| Facility | | $7,224.23 | $7,889.15 | $8,025.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $150.00 / $150.00
| Facility | | $150.00 | $150.00 | $150.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,048.40 / $9,112.25 / $14,278.78
| Facility | | $7,048.40 | $9,112.25 | $14,278.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,640.04 / $11,514.70 / $15,196.30
| Facility | | $8,640.04 | $11,514.70 | $15,196.30 |