- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,392.30 / $73,117.39 / $123,451.00
| Facility | | $33,392.30 | $73,117.39 | $123,451.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,809.17 / $126,650.27 / $162,798.72
| Facility | | $81,809.17 | $126,650.27 | $162,798.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,890.12 / $104,230.03 / $153,003.84
| Facility | | $72,890.12 | $104,230.03 | $153,003.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,636.74 / $103,064.30 / $216,129.10
| Facility | | $53,636.74 | $103,064.30 | $216,129.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,890.12 / $113,481.52 / $153,847.35
| Facility | | $72,890.12 | $113,481.52 | $153,847.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $93,512.84 / $144,283.29
| Facility | | $9,114.00 | $93,512.84 | $144,283.29 |