- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,696.17 / $9,313.37 / $11,470.20
| Facility | | $7,696.17 | $9,313.37 | $11,470.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,532.85 / $8,226.17 / $8,368.67
| Facility | | $7,532.85 | $8,226.17 | $8,368.67 |
- 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
- $7,349.51 / $9,501.52 / $14,888.76
| Facility | | $7,349.51 | $9,501.52 | $14,888.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,009.15 / $12,006.60 / $15,845.48
| Facility | | $9,009.15 | $12,006.60 | $15,845.48 |