- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,736.79 / $8,152.41 / $10,040.40
| Facility | | $6,736.79 | $8,152.41 | $10,040.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,593.83 / $7,200.72 / $7,325.46
| Facility | | $6,593.83 | $7,200.72 | $7,325.46 |
- 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
- $6,433.34 / $8,317.09 / $13,032.78
| Facility | | $6,433.34 | $8,317.09 | $13,032.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,886.10 / $10,509.90 / $13,870.23
| Facility | | $7,886.10 | $10,509.90 | $13,870.23 |