- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,586.33 / $10,390.60 / $12,796.90
| Facility | | $8,586.33 | $10,390.60 | $12,796.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,404.12 / $9,177.62 / $9,336.62
| Facility | | $8,404.12 | $9,177.62 | $9,336.62 |
- 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
- $8,199.58 / $10,600.50 / $16,610.84
| Facility | | $8,199.58 | $10,600.50 | $16,610.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,051.18 / $13,395.32 / $17,678.21
| Facility | | $10,051.18 | $13,395.32 | $17,678.21 |