- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,406.10 / $12,592.70 / $15,509.00
| Facility | | $10,406.10 | $12,592.70 | $15,509.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,185.24 / $11,122.69 / $11,315.37
| Facility | | $10,185.24 | $11,122.69 | $11,315.37 |
- 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
- $9,937.35 / $12,847.11 / $20,131.25
| Facility | | $9,937.35 | $12,847.11 | $20,131.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,181.37 / $16,234.25 / $21,424.84
| Facility | | $12,181.37 | $16,234.25 | $21,424.84 |