- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,772.20 / $136,805.00 / $240,913.00
| Facility | | $85,772.20 | $136,805.00 | $240,913.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,741.87 / $134,602.38 / $190,851.37
| Facility | | $42,741.87 | $134,602.38 | $190,851.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,310.28 / $106,372.98 / $178,199.60
| Facility | | $79,310.28 | $106,372.98 | $178,199.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,039.63 / $85,019.88 / $99,999.00
| Facility | | $65,039.63 | $85,019.88 | $99,999.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,276.52 / $115,519.03 / $189,513.39
| Facility | | $29,276.52 | $115,519.03 | $189,513.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98,329.59 / $134,801.75 / $184,815.44
| Facility | | $98,329.59 | $134,801.75 | $184,815.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $85,689.35 / $234,131.02
| Facility | | $3,775.00 | $85,689.35 | $234,131.02 |