- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90,327.30 / $90,327.30 / $107,056.00
| Facility | | $90,327.30 | $90,327.30 | $107,056.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,876.55 / $91,437.87 / $155,570.94
| Facility | | $73,876.55 | $91,437.87 | $155,570.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,096.09 / $106,051.33 / $173,590.74
| Facility | | $66,096.09 | $106,051.33 | $173,590.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $992.96 / $62,668.74 / $89,538.57
| Facility | | $992.96 | $62,668.74 | $89,538.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,214.10 / $104,774.20 / $123,135.96
| Facility | | $75,214.10 | $104,774.20 | $123,135.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,880.71 / $111,757.00 / $140,878.79
| Facility | | $67,880.71 | $111,757.00 | $140,878.79 |