- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $60,255.96 / $141,253.75
| Facility | | $43,651.58 | $60,255.96 | $141,253.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $60,255.96
| Professional | | $43,651.58 | $43,651.58 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $45,708.82 / $151,356.12
| Facility | | $43,651.58 | $45,708.82 | $151,356.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $44,668.36 / $57,543.99
| Professional | | $43,651.58 | $44,668.36 | $57,543.99 |
- 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
- $40,738.03 / $43,651.58 / $43,651.58
| Facility | | $40,738.03 | $43,651.58 | $43,651.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $48,977.88
| Professional | | $43,651.58 | $43,651.58 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $53,703.18 / $79,432.82
| Facility | | $45,708.82 | $53,703.18 | $79,432.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44,668.36 / $47,863.01 / $199,526.23
| Professional | | $44,668.36 | $47,863.01 | $199,526.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $54,954.09 / $60,255.96
| Facility | | $44,668.36 | $54,954.09 | $60,255.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39,810.72 / $45,708.82 / $50,118.72
| Professional | | $39,810.72 | $45,708.82 | $50,118.72 |