- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,767.00 / $73,665.60 / $114,476.00
| Facility | | $5,767.00 | $73,665.60 | $114,476.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,746.15 / $32,746.15 / $32,746.15
| Facility | | $32,746.15 | $32,746.15 | $32,746.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,090.60 / $101,011.68 / $170,847.65
| Facility | | $37,090.60 | $101,011.68 | $170,847.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,096.36 / $74,334.00 / $132,590.87
| Facility | | $53,096.36 | $74,334.00 | $132,590.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,453.75 / $82,577.17 / $120,569.39
| Facility | | $63,453.75 | $82,577.17 | $120,569.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,453.75 / $76,766.48 / $120,569.39
| Facility | | $63,453.75 | $76,766.48 | $120,569.39 |