- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,290,867.65 / $2,398,832.92 / $2,398,832.92
| Facility | | $2,290,867.65 | $2,398,832.92 | $2,398,832.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,511,886.43 / $2,511,886.43 / $2,511,886.43
| Professional | | $2,511,886.43 | $2,511,886.43 | $2,511,886.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,454,708.92 / $2,454,708.92 / $2,454,708.92
| Facility | | $2,454,708.92 | $2,454,708.92 | $2,454,708.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,454,708.92 / $2,454,708.92 / $2,570,395.78
| Facility | | $2,454,708.92 | $2,454,708.92 | $2,570,395.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,398,832.92 / $2,398,832.92 / $2,630,267.99
| Professional | | $2,398,832.92 | $2,398,832.92 | $2,630,267.99 |