- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,382.29 / $11,353.80 / $13,983.20
| Facility | | $9,382.29 | $11,353.80 | $13,983.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,183.18 / $10,028.40 / $10,202.12
| Facility | | $9,183.18 | $10,028.40 | $10,202.12 |
- 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
- $8,959.68 / $11,583.17 / $18,150.66
| Facility | | $8,959.68 | $11,583.17 | $18,150.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,982.93 / $14,637.07 / $19,316.99
| Facility | | $10,982.93 | $14,637.07 | $19,316.99 |