- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,131.02 / $74,131.02 / $74,131.02
| Facility | | $74,131.02 | $74,131.02 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,283.05 / $112,201.85 / $208,929.61
| Facility | | $81,283.05 | $112,201.85 | $208,929.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223,872.11 / $295,120.92 / $309,029.54
| Facility | | $223,872.11 | $295,120.92 | $309,029.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,131.02 / $74,131.02 / $177,827.94
| Facility | | $74,131.02 | $74,131.02 | $177,827.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,283.05 / $120,226.44 / $177,827.94
| Facility | | $81,283.05 | $120,226.44 | $177,827.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,113.80 / $109,647.82 / $117,489.76
| Facility | | $85,113.80 | $109,647.82 | $117,489.76 |