- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,695.70 / $192,871.00 / $324,211.00
| Facility | | $87,695.70 | $192,871.00 | $324,211.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $191,425.57 / $272,984.09 / $401,821.93
| Facility | | $191,425.57 | $272,984.09 | $401,821.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $132,548.00 / $259,946.02 / $533,800.80
| Facility | | $132,548.00 | $259,946.02 | $533,800.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,705.55 / $86,705.55 / $86,705.55
| Facility | | $86,705.55 | $86,705.55 | $86,705.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $191,425.57 / $294,596.68 / $404,037.19
| Facility | | $191,425.57 | $294,596.68 | $404,037.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $252,054.84 / $374,864.08
| Facility | | $9,114.00 | $252,054.84 | $374,864.08 |