- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,466.19 / $68,658.89 / $150,510.00
| Facility | | $35,466.19 | $68,658.89 | $150,510.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,495.73 / $59,921.03 / $97,758.20
| Facility | | $41,495.73 | $59,921.03 | $97,758.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,860.28 / $73,932.19 / $100,390.59
| Facility | | $35,860.28 | $73,932.19 | $100,390.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,577.00 / $161,880.54 / $189,980.57
| Facility | | $87,577.00 | $161,880.54 | $189,980.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $74,539.67 / $106,471.38
| Facility | | $1,787.00 | $74,539.67 | $106,471.38 |