- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,946.00 / $70,468.45 / $81,711.00
| Facility | | $55,946.00 | $70,468.45 | $81,711.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,272.32 / $55,946.00 / $66,326.78
| Professional | | $55,272.32 | $55,946.00 | $66,326.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,272.32 / $74,617.63 / $198,538.17
| Facility | | $55,272.32 | $74,617.63 | $198,538.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,272.32 / $55,272.32 / $70,195.85
| Professional | | $55,272.32 | $55,272.32 | $70,195.85 |
- 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 / $70,394.00
| Professional | | $55,272.32 | $55,272.32 | $70,394.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,945.97 / $69,978.67 / $134,628.35
| Facility | | $55,945.97 | $69,978.67 | $134,628.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53,148.67 / $59,302.73 / $245,198.88
| Professional | | $53,148.67 | $59,302.73 | $245,198.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53,614.15 / $55,272.32 / $65,774.06
| Professional | | $53,614.15 | $55,272.32 | $65,774.06 |