- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20,668.97 / $26,228.73 / $29,507.32
| Professional | | $20,668.97 | $26,228.73 | $29,507.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31,019.05 / $31,019.05 / $31,019.05
| Professional | | $31,019.05 | $31,019.05 | $31,019.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26,791.09 / $80,125.84 / $104,504.17
| Professional | | $26,791.09 | $80,125.84 | $104,504.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,228.73 / $35,933.36 / $38,272.98
| Facility | | $26,228.73 | $35,933.36 | $38,272.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35,507.14 / $37,375.94 / $44,013.93
| Professional | | $35,507.14 | $37,375.94 | $44,013.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,375.94 / $38,272.98 / $43,430.64
| Facility | | $37,375.94 | $38,272.98 | $43,430.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,228.73 / $36,428.79 / $40,186.62
| Facility | | $26,228.73 | $36,428.79 | $40,186.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31,019.05 / $37,375.94 / $2,250,000.00
| Professional | | $31,019.05 | $37,375.94 | $2,250,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,428.79 / $69,793.92 / $146,734.20
| Facility | | $36,428.79 | $69,793.92 | $146,734.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32,914.76 / $42,100.28 / $42,100.28
| Professional | | $32,914.76 | $42,100.28 | $42,100.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19,874.21 / $19,874.21 / $36,005.46
| Professional | | $19,874.21 | $19,874.21 | $36,005.46 |