- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $77,624.71 / $102,329.30
| Facility | | $43,651.58 | $77,624.71 | $102,329.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $52,480.75
| Professional | | $43,651.58 | $43,651.58 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $43,651.58 / $67,608.30
| Facility | | $40,738.03 | $43,651.58 | $67,608.30 |
- 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
- $43,651.58 / $43,651.58 / $44,668.36
| Facility | | $43,651.58 | $43,651.58 | $44,668.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21,877.62 / $43,651.58 / $43,651.58
| Professional | | $21,877.62 | $43,651.58 | $43,651.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53,703.18 / $58,884.37 / $91,201.08
| Professional | | $53,703.18 | $58,884.37 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $45,708.82 / $81,283.05
| Facility | | $44,668.36 | $45,708.82 | $81,283.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $45,708.82 / $47,863.01
| Professional | | $43,651.58 | $45,708.82 | $47,863.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $45,708.82
| Professional | | $43,651.58 | $43,651.58 | $45,708.82 |