- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,822.00 / $75,327.70 / $98,351.00
| Facility | | $3,822.00 | $75,327.70 | $98,351.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $68,789.66 / $184,205.25
| Facility | | $5,840.42 | $68,789.66 | $184,205.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,562.67 / $70,378.30 / $106,342.46
| Facility | | $42,562.67 | $70,378.30 | $106,342.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99,944.43 / $99,944.43 / $99,944.43
| Facility | | $99,944.43 | $99,944.43 | $99,944.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,324.49 / $70,899.80 / $109,485.94
| Facility | | $61,324.49 | $70,899.80 | $109,485.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $68,789.66 / $184,205.25
| Facility | | $5,840.42 | $68,789.66 | $184,205.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $68,789.66 / $143,958.03
| Facility | | $5,840.42 | $68,789.66 | $143,958.03 |