- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,095.73 / $77,624.71 / $93,325.43
| Facility | | $63,095.73 | $77,624.71 | $93,325.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54,954.09 / $54,954.09 / $74,131.02
| Professional | | $54,954.09 | $54,954.09 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,069.34 / $70,794.58 / $70,794.58
| Facility | | $66,069.34 | $70,794.58 | $70,794.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56,234.13 / $56,234.13 / $56,234.13
| Professional | | $56,234.13 | $56,234.13 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $54,954.09 / $54,954.09
| Facility | | $51,286.14 | $54,954.09 | $54,954.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54,954.09 / $54,954.09 / $54,954.09
| Professional | | $54,954.09 | $54,954.09 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $74,131.02 / $91,201.08
| Facility | | $56,234.13 | $74,131.02 | $91,201.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56,234.13 / $58,884.37 / $245,470.89
| Professional | | $56,234.13 | $58,884.37 | $245,470.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $54,954.09 / $60,255.96
| Facility | | $54,954.09 | $54,954.09 | $60,255.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54,954.09 / $57,543.99 / $63,095.73
| Professional | | $54,954.09 | $57,543.99 | $63,095.73 |