- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,822.00 / $169,636.00 / $221,484.00
| Facility | | $3,822.00 | $169,636.00 | $221,484.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $152,911.59 / $414,825.17
| Facility | | $5,840.42 | $152,911.59 | $414,825.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95,849.97 / $158,490.01 / $239,480.30
| Facility | | $95,849.97 | $158,490.01 | $239,480.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $225,072.12 / $225,072.12 / $225,072.12
| Facility | | $225,072.12 | $225,072.12 | $225,072.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138,101.06 / $159,664.41 / $246,559.34
| Facility | | $138,101.06 | $159,664.41 | $246,559.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $152,911.59 / $414,825.17
| Facility | | $5,840.42 | $152,911.59 | $414,825.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $154,912.43 / $324,189.53
| Facility | | $5,840.42 | $154,912.43 | $324,189.53 |