- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,057.50 / $133,446.00 / $161,132.00
| Facility | | $70,057.50 | $133,446.00 | $161,132.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,119.59 / $107,451.12 / $121,674.72
| Facility | | $91,119.59 | $107,451.12 | $121,674.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,958.28 / $91,002.40 / $97,799.02
| Facility | | $57,958.28 | $91,002.40 | $97,799.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,783.14 / $115,396.62 / $176,266.95
| Facility | | $67,783.14 | $115,396.62 | $176,266.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,767.32 / $101,367.69 / $138,474.76
| Facility | | $75,767.32 | $101,367.69 | $138,474.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $117,735.83 / $169,399.04
| Facility | | $3,775.00 | $117,735.83 | $169,399.04 |