- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84,542.80 / $116,788.00 / $162,266.00
| Facility | | $84,542.80 | $116,788.00 | $162,266.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,492.98 / $93,545.43 / $154,276.23
| Facility | | $33,492.98 | $93,545.43 | $154,276.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88,985.19 / $124,577.75 / $222,211.52
| Facility | | $88,985.19 | $124,577.75 | $222,211.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $106,343.32 / $138,392.62 / $202,064.51
| Facility | | $106,343.32 | $138,392.62 | $202,064.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $106,343.32 / $128,654.39 / $202,064.51
| Facility | | $106,343.32 | $128,654.39 | $202,064.51 |