- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,630.37 / $93,407.00 / $261,958.85
| Facility | | $53,630.37 | $93,407.00 | $261,958.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53,630.37 / $55,272.32 / $58,035.94
| Professional | | $53,630.37 | $55,272.32 | $58,035.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,542.71 / $91,571.95 / $114,003.12
| Facility | | $58,542.71 | $91,571.95 | $114,003.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41,827.19 / $59,112.73 / $73,929.00
| Professional | | $41,827.19 | $59,112.73 | $73,929.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,000.00 / $55,272.32 / $55,272.32
| Facility | | $50,000.00 | $55,272.32 | $55,272.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,272.32 / $55,272.32 / $77,820.00
| Professional | | $55,272.32 | $55,272.32 | $77,820.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,200.00 / $53,630.37 / $85,602.00
| Facility | | $37,200.00 | $53,630.37 | $85,602.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37,200.00 / $69,869.34 / $80,528.00
| Professional | | $37,200.00 | $69,869.34 | $80,528.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45,894.40 / $90,889.53 / $105,846.50
| Professional | | $45,894.40 | $90,889.53 | $105,846.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,272.32 / $58,588.66 / $66,147.00
| Professional | | $55,272.32 | $58,588.66 | $66,147.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,522.62 / $79,873.97 / $276,361.59
| Facility | | $73,522.62 | $79,873.97 | $276,361.59 |
- 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 |