- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $64,565.42 / $128,824.96
| Facility | | $44,668.36 | $64,565.42 | $128,824.96 |
- 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
- $53,703.18 / $53,703.18 / $95,499.26
| Facility | | $53,703.18 | $53,703.18 | $95,499.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $61,659.50
| Professional | | $43,651.58 | $43,651.58 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $69,183.10 / $162,181.01
| Facility | | $43,651.58 | $69,183.10 | $162,181.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $44,668.36 / $87,096.36
| Professional | | $43,651.58 | $44,668.36 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $44,668.36 / $52,480.75
| Facility | | $40,738.03 | $44,668.36 | $52,480.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10,471.29 / $89,125.09 / $112,201.85
| Professional | | $10,471.29 | $89,125.09 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $45,708.82 / $60,255.96
| Facility | | $40,738.03 | $45,708.82 | $60,255.96 |
- 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
- $50.12 / $64.57 / $85.11
| Professional | | $50.12 | $64.57 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $67,608.30 / $134,896.29
| Professional | | $43,651.58 | $67,608.30 | $134,896.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $223,872.11
| Facility | | $43,651.58 | $43,651.58 | $223,872.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43,651.58 / $83,176.38 / $199,526.23
| Professional | | $43,651.58 | $83,176.38 | $199,526.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35,481.34 / $51,286.14 / $67,608.30
| Professional | | $35,481.34 | $51,286.14 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $45,708.82 / $45,708.82
| Facility | | $43,651.58 | $45,708.82 | $45,708.82 |
- 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 |