- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,707.10 / $117,794.00 / $201,630.00
| Facility | | $46,707.10 | $117,794.00 | $201,630.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $127,149.77 / $189,744.80 / $249,226.12
| Facility | | $127,149.77 | $189,744.80 | $249,226.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $116,911.47 / $167,178.85 / $245,409.17
| Facility | | $116,911.47 | $167,178.85 | $245,409.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,030.19 / $165,309.07 / $346,658.38
| Facility | | $86,030.19 | $165,309.07 | $346,658.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $116,911.47 / $182,017.69 / $246,762.13
| Facility | | $116,911.47 | $182,017.69 | $246,762.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $149,989.10 / $231,421.95
| Facility | | $9,114.00 | $149,989.10 | $231,421.95 |