- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,145.00 / $102,575.00 / $133,926.00
| Facility | | $4,145.00 | $102,575.00 | $133,926.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $93,671.72 / $250,834.54
| Facility | | $5,840.42 | $93,671.72 | $250,834.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,679.17 / $95,151.17 / $146,642.34
| Facility | | $57,679.17 | $95,151.17 | $146,642.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $136,095.56 / $136,095.56 / $136,095.56
| Facility | | $136,095.56 | $136,095.56 | $136,095.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83,506.31 / $96,545.13 / $149,088.34
| Facility | | $83,506.31 | $96,545.13 | $149,088.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $93,671.72 / $250,834.54
| Facility | | $5,840.42 | $93,671.72 | $250,834.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $93,671.72 / $196,029.42
| Facility | | $5,840.42 | $93,671.72 | $196,029.42 |