- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,617.59 / $8,008.16 / $9,862.70
| Facility | | $6,617.59 | $8,008.16 | $9,862.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,477.16 / $7,073.31 / $7,195.85
| Facility | | $6,477.16 | $7,073.31 | $7,195.85 |
- 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
- $6,319.51 / $8,169.93 / $12,802.17
| Facility | | $6,319.51 | $8,169.93 | $12,802.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,746.57 / $10,323.93 / $13,624.81
| Facility | | $7,746.57 | $10,323.93 | $13,624.81 |