- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,369.08 / $10,127.70 / $12,473.10
| Facility | | $8,369.08 | $10,127.70 | $12,473.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,191.48 / $8,945.42 / $9,100.37
| Facility | | $8,191.48 | $8,945.42 | $9,100.37 |
- 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
- $7,992.11 / $10,332.28 / $16,190.55
| Facility | | $7,992.11 | $10,332.28 | $16,190.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,796.86 / $13,056.39 / $17,230.91
| Facility | | $9,796.86 | $13,056.39 | $17,230.91 |