- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $93,325.43 / $95,499.26
| Facility | | $50,118.72 | $93,325.43 | $95,499.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $57,543.99
| Professional | | $43,651.58 | $43,651.58 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $64,565.42 / $69,183.10
| Facility | | $52,480.75 | $64,565.42 | $69,183.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $44,668.36
| Professional | | $43,651.58 | $43,651.58 | $44,668.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30,199.52 / $44,668.36 / $58,884.37
| Professional | | $30,199.52 | $44,668.36 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,183.10 / $75,857.76 / $87,096.36
| Facility | | $69,183.10 | $75,857.76 | $87,096.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47,863.01 / $47,863.01 / $63,095.73
| Professional | | $47,863.01 | $47,863.01 | $63,095.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38,018.94 / $42,657.95 / $42,657.95
| Professional | | $38,018.94 | $42,657.95 | $42,657.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40,738.03 / $44,668.36 / $53,703.18
| Professional | | $40,738.03 | $44,668.36 | $53,703.18 |
- 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 |