- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114,969.00 / $114,969.00 / $136,260.00
| Facility | | $114,969.00 | $114,969.00 | $136,260.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,175.31 / $138,584.76 / $207,314.37
| Facility | | $85,175.31 | $138,584.76 | $207,314.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94,030.07 / $116,382.12 / $198,010.68
| Facility | | $94,030.07 | $116,382.12 | $198,010.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84,127.09 / $134,982.12 / $220,946.28
| Facility | | $84,127.09 | $134,982.12 | $220,946.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.97 / $79,078.52 / $112,984.19
| Facility | | $1,252.97 | $79,078.52 | $112,984.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95,732.51 / $133,356.60 / $156,727.44
| Facility | | $95,732.51 | $133,356.60 | $156,727.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,398.56 / $142,244.29 / $179,310.52
| Facility | | $86,398.56 | $142,244.29 | $179,310.52 |