- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $75,857.76 / $151,356.12
| Facility | | $52,480.75 | $75,857.76 | $151,356.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $57,543.99
| Professional | | $43,651.58 | $43,651.58 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $95,499.26 / $186,208.71
| Facility | | $39,810.72 | $95,499.26 | $186,208.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36,307.81 / $47,863.01 / $75,857.76
| Professional | | $36,307.81 | $47,863.01 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $50,118.72
| Facility | | $43,651.58 | $43,651.58 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $43,651.58
| Professional | | $43,651.58 | $43,651.58 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $50,118.72 / $77,624.71
| Facility | | $28,840.32 | $50,118.72 | $77,624.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45,708.82 / $45,708.82 / $199,526.23
| Professional | | $45,708.82 | $45,708.82 | $199,526.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $44,668.36 / $74,131.02
| Facility | | $44,668.36 | $44,668.36 | $74,131.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $47,863.01
| Professional | | $43,651.58 | $43,651.58 | $47,863.01 |