- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,240.00 / $8,240.00 / $702,718.00
| Facility | | $8,240.00 | $8,240.00 | $702,718.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,704.00 / $240,887.00 / $490,660.00
| Facility | | $11,704.00 | $240,887.00 | $490,660.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $148,576.40 / $269,729.84 / $370,252.39
| Facility | | $148,576.40 | $269,729.84 | $370,252.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98,968.00 / $179,675.38 / $269,949.84
| Facility | | $98,968.00 | $179,675.38 | $269,949.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $701,153.26 / $701,153.26 / $701,153.26
| Facility | | $701,153.26 | $701,153.26 | $701,153.26 |