- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,822.00 / $140,550.00 / $183,508.00
| Facility | | $3,822.00 | $140,550.00 | $183,508.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $126,693.00 / $343,698.22
| Facility | | $5,840.42 | $126,693.00 | $343,698.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,415.30 / $131,314.92 / $198,418.42
| Facility | | $79,415.30 | $131,314.92 | $198,418.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186,480.70 / $186,480.70 / $186,480.70
| Facility | | $186,480.70 | $186,480.70 | $186,480.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114,421.92 / $132,287.95 / $204,283.67
| Facility | | $114,421.92 | $132,287.95 | $204,283.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $126,693.00 / $343,698.22
| Facility | | $5,840.42 | $126,693.00 | $343,698.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $128,350.76 / $268,603.20
| Facility | | $5,840.42 | $128,350.76 | $268,603.20 |