- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $89,125.09 / $147,910.84
| Facility | | $48,977.88 | $89,125.09 | $147,910.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $74,131.02
| Professional | | $43,651.58 | $43,651.58 | $74,131.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52,480.75 / $52,480.75 / $52,480.75
| Professional | | $52,480.75 | $52,480.75 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $56,234.13 / $131,825.67
| Facility | | $46,773.51 | $56,234.13 | $131,825.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20,892.96 / $46,773.51 / $69,183.10
| Professional | | $20,892.96 | $46,773.51 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.11 / $23,442.29 / $91,201.08
| Facility | | $85.11 | $23,442.29 | $91,201.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $51,286.14 / $95,499.26
| Professional | | $43,651.58 | $51,286.14 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $40,738.03 / $43,651.58
| Facility | | $40,738.03 | $40,738.03 | $43,651.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $46,773.51
| Professional | | $43,651.58 | $43,651.58 | $46,773.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44,668.36 / $44,668.36 / $60,255.96
| Professional | | $44,668.36 | $44,668.36 | $60,255.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38,904.51 / $45,708.82 / $75,857.76
| Professional | | $38,904.51 | $45,708.82 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223,872.11 / $223,872.11 / $223,872.11
| Facility | | $223,872.11 | $223,872.11 | $223,872.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $199,526.23 / $199,526.23 / $199,526.23
| Professional | | $199,526.23 | $199,526.23 | $199,526.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45,708.82 / $45,708.82 / $45,708.82
| Professional | | $45,708.82 | $45,708.82 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $43,651.58 / $74,131.02
| Facility | | $20,417.38 | $43,651.58 | $74,131.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40,738.03 / $40,738.03 / $56,234.13
| Professional | | $40,738.03 | $40,738.03 | $56,234.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72,443.60 / $72,443.60 / $72,443.60
| Professional | | $72,443.60 | $72,443.60 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $43,651.58
| Facility | | $43,651.58 | $43,651.58 | $43,651.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $50,118.72
| Professional | | $43,651.58 | $43,651.58 | $50,118.72 |