- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137,962.09 / $2,238,721.14 / $2,238,721.14
| Facility | | $2,137,962.09 | $2,238,721.14 | $2,238,721.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,398,832.92 / $2,398,832.92 / $2,398,832.92
| Professional | | $2,398,832.92 | $2,398,832.92 | $2,398,832.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $0.02 / $0.04
| Facility | | $0.02 | $0.02 | $0.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,818.38 / $2,511,886.43 / $2,884,031.50
| Professional | | $2,818.38 | $2,511,886.43 | $2,884,031.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,737,800.83 / $2,754,228.70 / $3,388,441.56
| Facility | | $1,737,800.83 | $2,754,228.70 | $3,388,441.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,344,228.82 / $2,344,228.82 / $2,344,228.82
| Professional | | $2,344,228.82 | $2,344,228.82 | $2,344,228.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,398,832.92 / $2,570,395.78 / $3,981,071.71
| Facility | | $2,398,832.92 | $2,570,395.78 | $3,981,071.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46,773.51 / $2,398,832.92 / $2,884,031.50
| Professional | | $46,773.51 | $2,398,832.92 | $2,884,031.50 |