- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,597.15 / $9,193.56 / $11,322.60
| Facility | | $7,597.15 | $9,193.56 | $11,322.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,435.93 / $8,120.33 / $8,261.01
| Facility | | $7,435.93 | $8,120.33 | $8,261.01 |
- 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
- $7,254.95 / $9,379.28 / $14,697.21
| Facility | | $7,254.95 | $9,379.28 | $14,697.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,893.25 / $11,852.13 / $15,641.62
| Facility | | $8,893.25 | $11,852.13 | $15,641.62 |