- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $99,686.70 / $162,805.00
| Facility | | $6,303.00 | $99,686.70 | $162,805.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $131,663.18 / $181,082.07 / $242,973.06
| Facility | | $131,663.18 | $181,082.07 | $242,973.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107,874.94 / $148,140.94 / $207,669.28
| Facility | | $107,874.94 | $148,140.94 | $207,669.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93,914.88 / $164,527.13 / $207,414.93
| Facility | | $93,914.88 | $164,527.13 | $207,414.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93,914.88 / $165,896.72 / $217,540.12
| Facility | | $93,914.88 | $165,896.72 | $217,540.12 |