- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $66,069.34 / $87,096.36
| Facility | | $43,651.58 | $66,069.34 | $87,096.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $72,443.60
| Professional | | $43,651.58 | $43,651.58 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $46,773.51 / $60,255.96
| Facility | | $39,810.72 | $46,773.51 | $60,255.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46,773.51 / $47,863.01 / $48,977.88
| Professional | | $46,773.51 | $47,863.01 | $48,977.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $52,480.75 / $69,183.10
| Professional | | $43,651.58 | $52,480.75 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $52,480.75 / $87,096.36
| Facility | | $40,738.03 | $52,480.75 | $87,096.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45,708.82 / $51,286.14 / $199,526.23
| Professional | | $45,708.82 | $51,286.14 | $199,526.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53,703.18 / $67,608.30 / $69,183.10
| Professional | | $53,703.18 | $67,608.30 | $69,183.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52,480.75 / $67,608.30 / $114,815.36
| Professional | | $52,480.75 | $67,608.30 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $43,651.58 / $91,201.08
| Facility | | $40,738.03 | $43,651.58 | $91,201.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $45,708.82 / $53,703.18
| Professional | | $43,651.58 | $45,708.82 | $53,703.18 |