- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $163,525.00 / $163,525.00 / $193,809.00
| Facility | | $163,525.00 | $163,525.00 | $193,809.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $133,743.06 / $165,535.34 / $281,639.19
| Facility | | $133,743.06 | $165,535.34 | $281,639.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $119,657.62 / $191,990.93 / $314,261.49
| Facility | | $119,657.62 | $191,990.93 | $314,261.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,746.29 / $110,213.59 / $160,360.35
| Facility | | $1,746.29 | $110,213.59 | $160,360.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $136,164.50 / $189,678.88 / $222,920.25
| Facility | | $136,164.50 | $189,678.88 | $222,920.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $122,888.42 / $202,320.24 / $255,041.14
| Facility | | $122,888.42 | $202,320.24 | $255,041.14 |