- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,767.00 / $127,490.00 / $207,433.00
| Facility | | $5,767.00 | $127,490.00 | $207,433.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,440.93 / $160,405.67 / $271,304.58
| Facility | | $59,440.93 | $160,405.67 | $271,304.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,891.85 / $128,647.01 / $229,469.95
| Facility | | $91,891.85 | $128,647.01 | $229,469.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109,816.97 / $142,913.15 / $208,664.84
| Facility | | $109,816.97 | $142,913.15 | $208,664.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109,816.97 / $132,856.82 / $208,664.84
| Facility | | $109,816.97 | $132,856.82 | $208,664.84 |