- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,092.50 / $81,063.80 / $105,840.00
| Facility | | $39,092.50 | $81,063.80 | $105,840.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $74,027.91 / $198,232.27
| Facility | | $5,840.42 | $74,027.91 | $198,232.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,803.77 / $75,737.53 / $114,440.32
| Facility | | $45,803.77 | $75,737.53 | $114,440.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107,555.09 / $107,555.09 / $107,555.09
| Facility | | $107,555.09 | $107,555.09 | $107,555.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,994.28 / $76,298.74 / $117,823.17
| Facility | | $65,994.28 | $76,298.74 | $117,823.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $74,027.91 / $198,232.27
| Facility | | $5,840.42 | $74,027.91 | $198,232.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $74,027.91 / $154,920.26
| Facility | | $5,840.42 | $74,027.91 | $154,920.26 |