- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84,282.00 / $84,282.00 / $99,890.80
| Facility | | $84,282.00 | $84,282.00 | $99,890.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,291.66 / $96,470.70 / $144,314.29
| Facility | | $59,291.66 | $96,470.70 | $144,314.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,670.16 / $83,655.66 / $96,952.57
| Facility | | $61,670.16 | $83,655.66 | $96,952.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,672.51 / $98,953.70 / $161,972.94
| Facility | | $61,672.51 | $98,953.70 | $161,972.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $667.52 / $55,047.61 / $78,649.78
| Facility | | $667.52 | $55,047.61 | $78,649.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,180.30 / $97,762.05 / $114,894.92
| Facility | | $70,180.30 | $97,762.05 | $114,894.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,337.70 / $104,277.51 / $131,450.29
| Facility | | $63,337.70 | $104,277.51 | $131,450.29 |