- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,041.03 / $10,940.80 / $13,474.50
| Facility | | $9,041.03 | $10,940.80 | $13,474.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,849.16 / $9,663.64 / $9,831.04
| Facility | | $8,849.16 | $9,663.64 | $9,831.04 |
- 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
- $8,633.79 / $11,161.85 / $17,490.48
| Facility | | $8,633.79 | $11,161.85 | $17,490.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,583.45 / $14,104.68 / $18,614.38
| Facility | | $10,583.45 | $14,104.68 | $18,614.38 |