- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,240.98 / $11,182.80 / $13,772.50
| Facility | | $9,240.98 | $11,182.80 | $13,772.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,044.87 / $9,877.36 / $10,048.46
| Facility | | $9,044.87 | $9,877.36 | $10,048.46 |
- 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
- $8,824.73 / $11,408.71 / $17,877.30
| Facility | | $8,824.73 | $11,408.71 | $17,877.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,817.51 / $14,416.62 / $19,026.05
| Facility | | $10,817.51 | $14,416.62 | $19,026.05 |