- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,681.70 / $111,552.00 / $198,473.00
| Facility | | $45,681.70 | $111,552.00 | $198,473.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113,750.10 / $174,623.29 / $224,464.18
| Facility | | $113,750.10 | $174,623.29 | $224,464.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98,515.00 / $150,164.54 / $221,036.33
| Facility | | $98,515.00 | $150,164.54 | $221,036.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83,687.00 / $146,502.73 / $293,635.96
| Facility | | $83,687.00 | $146,502.73 | $293,635.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105,300.39 / $163,940.59 / $222,254.92
| Facility | | $105,300.39 | $163,940.59 | $222,254.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $135,092.92 / $206,207.21
| Facility | | $9,114.00 | $135,092.92 | $206,207.21 |