- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,272.32 / $56,505.40 / $147,697.00
| Facility | | $55,272.32 | $56,505.40 | $147,697.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,272.32 / $55,272.32 / $58,035.94
| Professional | | $55,272.32 | $55,272.32 | $58,035.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,490.75 / $59,965.26 / $79,506.39
| Facility | | $50,490.75 | $59,965.26 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57,358.07 / $57,358.07 / $57,358.07
| Professional | | $57,358.07 | $57,358.07 | $57,358.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,143.70 / $55,272.32 / $55,272.32
| Facility | | $52,143.70 | $55,272.32 | $55,272.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,272.32 / $55,272.32 / $57,358.07
| Professional | | $55,272.32 | $55,272.32 | $57,358.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52,665.14 / $52,665.14 / $74,838.72
| Professional | | $52,665.14 | $52,665.14 | $74,838.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,505.40 / $56,505.40 / $147,697.00
| Facility | | $56,505.40 | $56,505.40 | $147,697.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,272.32 / $55,825.05 / $95,494.20
| Professional | | $55,272.32 | $55,825.05 | $95,494.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52,096.70 / $63,167.30 / $117,948.60
| Professional | | $52,096.70 | $63,167.30 | $117,948.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,143.70 / $55,272.32 / $55,272.32
| Facility | | $52,143.70 | $55,272.32 | $55,272.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,272.32 / $55,272.32 / $61,578.47
| Professional | | $55,272.32 | $55,272.32 | $61,578.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,981.46 / $53,981.46 / $62,638.87
| Facility | | $53,981.46 | $53,981.46 | $62,638.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53,981.46 / $53,981.46 / $62,638.87
| Professional | | $53,981.46 | $53,981.46 | $62,638.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,272.32 / $58,588.66 / $70,748.57
| Professional | | $55,272.32 | $58,588.66 | $70,748.57 |