- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,239.29 / $9,970.64 / $12,279.70
| Facility | | $8,239.29 | $9,970.64 | $12,279.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,064.45 / $8,806.70 / $8,959.27
| Facility | | $8,064.45 | $8,806.70 | $8,959.27 |
- 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
- $7,868.18 / $10,172.06 / $15,939.49
| Facility | | $7,868.18 | $10,172.06 | $15,939.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,644.95 / $12,853.93 / $16,963.72
| Facility | | $9,644.95 | $12,853.93 | $16,963.72 |