- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,745.91 / $10,583.70 / $13,034.70
| Facility | | $8,745.91 | $10,583.70 | $13,034.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,560.31 / $9,348.20 / $9,510.14
| Facility | | $8,560.31 | $9,348.20 | $9,510.14 |
- 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
- $8,351.95 / $10,797.51 / $16,919.55
| Facility | | $8,351.95 | $10,797.51 | $16,919.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,237.98 / $13,644.27 / $18,006.75
| Facility | | $10,237.98 | $13,644.27 | $18,006.75 |