- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,520.19 / $77,803.39 / $101,583.00
| Facility | | $37,520.19 | $77,803.39 | $101,583.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $71,050.50 / $190,259.34
| Facility | | $5,840.42 | $71,050.50 | $190,259.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,961.54 / $72,691.36 / $109,837.51
| Facility | | $43,961.54 | $72,691.36 | $109,837.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $103,229.21 / $103,229.21 / $103,229.21
| Facility | | $103,229.21 | $103,229.21 | $103,229.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,339.98 / $73,229.99 / $113,084.31
| Facility | | $63,339.98 | $73,229.99 | $113,084.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $71,050.50 / $190,259.34
| Facility | | $5,840.42 | $71,050.50 | $190,259.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $71,050.50 / $148,689.35
| Facility | | $5,840.42 | $71,050.50 | $148,689.35 |