- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92,302.60 / $147,221.00 / $259,255.00
| Facility | | $92,302.60 | $147,221.00 | $259,255.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,998.00 / $94,967.88 / $162,632.70
| Facility | | $7,998.00 | $94,967.88 | $162,632.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,757.00 / $107,391.62 / $178,457.93
| Facility | | $5,757.00 | $107,391.62 | $178,457.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,200.00 / $80,571.67 / $99,261.75
| Facility | | $6,200.00 | $80,571.67 | $99,261.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,312.06 / $90,839.60 / $148,226.69
| Facility | | $29,312.06 | $90,839.60 | $148,226.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,700.00 / $102,439.71 / $155,192.59
| Facility | | $7,700.00 | $102,439.71 | $155,192.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,316.25 / $128,896.68 / $182,162.33
| Facility | | $39,316.25 | $128,896.68 | $182,162.33 |