- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $64,565.42 / $117,489.76
| Facility | | $54,954.09 | $64,565.42 | $117,489.76 |
- 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
- $40,738.03 / $51,286.14 / $67,608.30
| Facility | | $40,738.03 | $51,286.14 | $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
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $60,255.96 / $60,255.96
| Professional | | $43,651.58 | $60,255.96 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $20,417.38 / $131,825.67
| Facility | | $9,120.11 | $20,417.38 | $131,825.67 |
- 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
- $39,810.72 / $54,954.09 / $87,096.36
| Facility | | $39,810.72 | $54,954.09 | $87,096.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $45,708.82 / $51,286.14
| Professional | | $43,651.58 | $45,708.82 | $51,286.14 |