- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,820.40 / $85,820.40 / $101,714.00
| Facility | | $85,820.40 | $85,820.40 | $101,714.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,459.22 / $125,551.80 / $160,323.94
| Facility | | $73,459.22 | $125,551.80 | $160,323.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,798.21 / $100,759.89 / $164,929.41
| Facility | | $62,798.21 | $100,759.89 | $164,929.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $914.82 / $57,736.71 / $84,159.65
| Facility | | $914.82 | $57,736.71 | $84,159.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71,461.28 / $99,546.48 / $116,992.08
| Facility | | $71,461.28 | $99,546.48 | $116,992.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,493.79 / $106,180.87 / $133,849.63
| Facility | | $64,493.79 | $106,180.87 | $133,849.63 |