- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,359.45 / $10,116.10 / $12,458.80
| Facility | | $8,359.45 | $10,116.10 | $12,458.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,182.07 / $8,935.14 / $9,089.93
| Facility | | $8,182.07 | $8,935.14 | $9,089.93 |
- 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
- $7,982.93 / $10,320.41 / $16,171.95
| Facility | | $7,982.93 | $10,320.41 | $16,171.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,785.61 / $13,041.39 / $17,211.12
| Facility | | $9,785.61 | $13,041.39 | $17,211.12 |