- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $38,018.94 / $53,703.18
| Facility | | $17,378.01 | $38,018.94 | $53,703.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20,417.38 / $25,118.86 / $40,738.03
| Professional | | $20,417.38 | $25,118.86 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $47,863.01 / $95,499.26
| Facility | | $47,863.01 | $47,863.01 | $95,499.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28,183.83 / $28,183.83 / $81,283.05
| Professional | | $28,183.83 | $28,183.83 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $38,904.51 / $38,904.51
| Facility | | $36,307.81 | $38,904.51 | $38,904.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38,904.51 / $38,904.51 / $38,904.51
| Professional | | $38,904.51 | $38,904.51 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $53,703.18 / $77,624.71
| Facility | | $31,622.78 | $53,703.18 | $77,624.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22,908.68 / $22,908.68 / $47,863.01
| Professional | | $22,908.68 | $22,908.68 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $79,432.82 / $186,208.71
| Facility | | $47,863.01 | $79,432.82 | $186,208.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30,199.52 / $52,480.75 / $93,325.43
| Professional | | $30,199.52 | $52,480.75 | $93,325.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28,183.83 / $30,199.52 / $33,884.42
| Professional | | $28,183.83 | $30,199.52 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $53,703.18 / $75,857.76
| Facility | | $50,118.72 | $53,703.18 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31,622.78 / $45,708.82 / $45,708.82
| Professional | | $31,622.78 | $45,708.82 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $50,118.72 / $58,884.37
| Facility | | $17,782.79 | $50,118.72 | $58,884.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15,848.93 / $25,118.86 / $38,904.51
| Professional | | $15,848.93 | $25,118.86 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $28,183.83 / $28,183.83
| Facility | | $25,118.86 | $28,183.83 | $28,183.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26,915.35 / $28,183.83 / $30,199.52
| Professional | | $26,915.35 | $28,183.83 | $30,199.52 |