- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,272.32 / $55,272.32 / $55,825.05
| Facility | | $55,272.32 | $55,272.32 | $55,825.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,272.32 / $55,272.32 / $60,246.83
| Professional | | $55,272.32 | $55,272.32 | $60,246.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,408.25 / $149,943.32 / $295,307.71
| Facility | | $55,408.25 | $149,943.32 | $295,307.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63,228.55 / $63,228.55 / $63,228.55
| Professional | | $63,228.55 | $63,228.55 | $63,228.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $54,404.11
| Facility | | $80.00 | $80.00 | $54,404.11 |
- 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 / $55,272.32
| Professional | | $55,272.32 | $55,272.32 | $55,272.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,522.62 / $276,361.59 / $285,085.50
| Facility | | $73,522.62 | $276,361.59 | $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
- Facility
- Modifier
- Low / Median / High Price
- $55,272.32 / $55,945.97 / $93,154.29
| Facility | | $55,272.32 | $55,945.97 | $93,154.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,272.32 / $56,377.77 / $91,199.33
| Professional | | $55,272.32 | $56,377.77 | $91,199.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54,404.11 / $60,799.56 / $115,459.35
| Professional | | $54,404.11 | $60,799.56 | $115,459.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,143.70 / $55,272.32 / $94,344.33
| Facility | | $52,143.70 | $55,272.32 | $94,344.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,272.32 / $55,272.32 / $69,420.63
| Professional | | $55,272.32 | $55,272.32 | $69,420.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,272.32 / $58,588.66 / $61,529.70
| Professional | | $55,272.32 | $58,588.66 | $61,529.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,272.32 / $55,536.50 / $77,381.25
| Professional | | $55,272.32 | $55,536.50 | $77,381.25 |