- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,808.00 / $104,683.00 / $176,746.00
| Facility | | $47,808.00 | $104,683.00 | $176,746.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117,662.64 / $174,603.24 / $226,406.65
| Facility | | $117,662.64 | $174,603.24 | $226,406.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,357.26 / $149,226.82 / $219,056.61
| Facility | | $104,357.26 | $149,226.82 | $219,056.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76,792.08 / $145,190.57 / $309,433.46
| Facility | | $76,792.08 | $145,190.57 | $309,433.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,357.26 / $162,472.24 / $220,264.28
| Facility | | $104,357.26 | $162,472.24 | $220,264.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $133,882.95 / $205,303.00
| Facility | | $9,114.00 | $133,882.95 | $205,303.00 |