- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,945.27 / $20,945.27 / $45,555.50
| Facility | | $20,945.27 | $20,945.27 | $45,555.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20,539.56 / $23,121.75 / $29,507.32
| Professional | | $20,539.56 | $23,121.75 | $29,507.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,606.32 / $54,048.85 / $141,685.19
| Facility | | $38,606.32 | $54,048.85 | $141,685.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38,832.51 / $61,453.41 / $367,460.80
| Professional | | $38,832.51 | $61,453.41 | $367,460.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,153.98 / $32,948.24 / $71,421.69
| Facility | | $32,153.98 | $32,948.24 | $71,421.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32,815.37 / $32,815.37 / $32,815.37
| Professional | | $32,815.37 | $32,815.37 | $32,815.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,241.78 / $45,241.78 / $45,241.78
| Facility | | $45,241.78 | $45,241.78 | $45,241.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31,019.05 / $31,019.05 / $44,937.75
| Professional | | $31,019.05 | $31,019.05 | $44,937.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29,340.80 / $38,606.32 / $61,770.11
| Professional | | $29,340.80 | $38,606.32 | $61,770.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14,776.64 / $20,283.02 / $37,701.48
| Professional | | $14,776.64 | $20,283.02 | $37,701.48 |