- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76,357.39 / $122,308.00 / $159,211.00
| Facility | | $76,357.39 | $122,308.00 | $159,211.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,357.89 / $121,866.00 / $165,422.85
| Facility | | $70,357.89 | $121,866.00 | $165,422.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,817.00 / $4,817.00 / $4,817.00
| Facility | | $4,817.00 | $4,817.00 | $4,817.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,988.00 / $83,522.00 / $132,237.00
| Facility | | $56,988.00 | $83,522.00 | $132,237.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $19,347.00 / $150,865.85
| Facility | | $6,098.00 | $19,347.00 | $150,865.85 |