- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,528.80 / $95,312.50 / $160,926.00
| Facility | | $43,528.80 | $95,312.50 | $160,926.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105,224.49 / $155,912.26 / $210,058.11
| Facility | | $105,224.49 | $155,912.26 | $210,058.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95,016.29 / $135,869.60 / $199,448.96
| Facility | | $95,016.29 | $135,869.60 | $199,448.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,902.05 / $128,830.28 / $286,150.90
| Facility | | $69,902.05 | $128,830.28 | $286,150.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95,016.29 / $147,929.43 / $200,548.53
| Facility | | $95,016.29 | $147,929.43 | $200,548.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $121,899.15 / $186,068.12
| Facility | | $9,114.00 | $121,899.15 | $186,068.12 |