- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98,879.40 / $98,879.40 / $117,192.00
| Facility | | $98,879.40 | $98,879.40 | $117,192.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,371.73 / $114,498.56 / $171,282.88
| Facility | | $70,371.73 | $114,498.56 | $171,282.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80,871.13 / $100,095.13 / $170,300.27
| Facility | | $80,871.13 | $100,095.13 | $170,300.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,354.00 / $116,092.18 / $190,026.17
| Facility | | $72,354.00 | $116,092.18 | $190,026.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,035.20 / $65,334.57 / $96,965.95
| Facility | | $1,035.20 | $65,334.57 | $96,965.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82,335.31 / $114,694.14 / $134,794.37
| Facility | | $82,335.31 | $114,694.14 | $134,794.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,307.60 / $122,338.06 / $154,217.09
| Facility | | $74,307.60 | $122,338.06 | $154,217.09 |