- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,822.00 / $131,093.00 / $171,160.00
| Facility | | $3,822.00 | $131,093.00 | $171,160.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $119,714.84 / $320,572.90
| Facility | | $5,840.42 | $119,714.84 | $320,572.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,071.94 / $122,479.56 / $185,068.08
| Facility | | $74,071.94 | $122,479.56 | $185,068.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173,933.57 / $173,933.57 / $173,933.57
| Facility | | $173,933.57 | $173,933.57 | $173,933.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $106,723.18 / $123,387.12 / $190,538.69
| Facility | | $106,723.18 | $123,387.12 | $190,538.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $119,714.84 / $320,572.90
| Facility | | $5,840.42 | $119,714.84 | $320,572.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $119,714.84 / $250,530.56
| Facility | | $5,840.42 | $119,714.84 | $250,530.56 |