- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,272.32 / $55,825.05 / $172,361.00
| Facility | | $55,272.32 | $55,825.05 | $172,361.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,272.31 / $55,272.32 / $145,460.00
| Professional | | $55,272.31 | $55,272.32 | $145,460.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,351.65 / $88,286.48 / $197,908.07
| Facility | | $58,351.65 | $88,286.48 | $197,908.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,272.32 / $55,945.97 / $104,618.96
| Professional | | $55,272.32 | $55,945.97 | $104,618.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.20 / $100.00 / $77,820.00
| Facility | | $77.20 | $100.00 | $77,820.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52,630.55 / $56,315.20 / $106,998.88
| Professional | | $52,630.55 | $56,315.20 | $106,998.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,143.70 / $52,143.70 / $55,272.32
| Facility | | $52,143.70 | $52,143.70 | $55,272.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,272.32 / $55,272.32 / $67,894.64
| Professional | | $55,272.32 | $55,272.32 | $67,894.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,536.50 / $57,017.10 / $74,974.27
| Professional | | $55,536.50 | $57,017.10 | $74,974.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49,745.09 / $66,326.78 / $107,781.02
| Professional | | $49,745.09 | $66,326.78 | $107,781.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,522.62 / $270,834.37 / $285,085.50
| Facility | | $73,522.62 | $270,834.37 | $285,085.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $245,198.88 / $245,198.88 / $245,198.88
| Professional | | $245,198.88 | $245,198.88 | $245,198.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.00 / $113,849.82 / $113,849.82
| Professional | | $60.00 | $113,849.82 | $113,849.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,696.84 / $55,272.32 / $90,508.56
| Facility | | $51,696.84 | $55,272.32 | $90,508.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,272.32 / $55,272.32 / $70,394.00
| Professional | | $55,272.32 | $55,272.32 | $70,394.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $112,754.92 / $112,754.92 / $112,754.92
| Professional | | $112,754.92 | $112,754.92 | $112,754.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44,217.86 / $55,272.32 / $82,908.49
| Professional | | $44,217.86 | $55,272.32 | $82,908.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,272.32 / $55,272.32 / $61,905.00
| Professional | | $55,272.32 | $55,272.32 | $61,905.00 |