- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,775.20 / $98,307.70 / $146,701.00
| Facility | | $53,775.20 | $98,307.70 | $146,701.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $113,119.20 / $172,239.00
| Facility | | $20,946.00 | $113,119.20 | $172,239.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,547.59 / $80,621.11 / $125,702.15
| Facility | | $45,547.59 | $80,621.11 | $125,702.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98,259.96 / $98,259.96 / $119,315.67
| Facility | | $98,259.96 | $98,259.96 | $119,315.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,054.56 / $119,200.24 / $173,879.14
| Facility | | $35,054.56 | $119,200.24 | $173,879.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,302.40 / $97,490.70 / $143,038.00
| Facility | | $52,302.40 | $97,490.70 | $143,038.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,547.59 / $79,702.78 / $121,623.39
| Facility | | $45,547.59 | $79,702.78 | $121,623.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $43,703.69 / $63,786.00
| Facility | | $2,621.40 | $43,703.69 | $63,786.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,734.38 / $82,105.92 / $136,340.32
| Facility | | $27,734.38 | $82,105.92 | $136,340.32 |