- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $87,096.36 / $125,892.54
| Facility | | $43,651.58 | $87,096.36 | $125,892.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $58,884.37
| Professional | | $43,651.58 | $43,651.58 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $70,794.58 / $75,857.76
| Facility | | $45,708.82 | $70,794.58 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36,307.81 / $45,708.82 / $47,863.01
| Professional | | $36,307.81 | $45,708.82 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,432.82 / $154,881.66 / $186,208.71
| Facility | | $79,432.82 | $154,881.66 | $186,208.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $46,773.51 / $56,234.13
| Professional | | $43,651.58 | $46,773.51 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120,226.44 / $147,910.84 / $173,780.08
| Facility | | $120,226.44 | $147,910.84 | $173,780.08 |
- 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
- $37,153.52 / $45,708.82 / $81,283.05
| Facility | | $37,153.52 | $45,708.82 | $81,283.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45,708.82 / $47,863.01 / $97,723.72
| Professional | | $45,708.82 | $47,863.01 | $97,723.72 |
- 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 / $44,668.36 / $60,255.96
| Professional | | $43,651.58 | $44,668.36 | $60,255.96 |