- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,398,832.92 / $2,398,832.92 / $2,630,267.99
| Facility | | $2,398,832.92 | $2,398,832.92 | $2,630,267.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,089,296.13 / $2,398,832.92 / $2,570,395.78
| Professional | | $2,089,296.13 | $2,398,832.92 | $2,570,395.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,819,700.86 / $2,951,209.23 / $3,388,441.56
| Facility | | $1,819,700.86 | $2,951,209.23 | $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
- $2,570,395.78 / $2,691,534.80 / $3,801,893.96
| Facility | | $2,570,395.78 | $2,691,534.80 | $3,801,893.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,344,228.82 / $2,344,228.82 / $2,951,209.23
| Professional | | $2,344,228.82 | $2,344,228.82 | $2,951,209.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137,962.09 / $2,454,708.92 / $2,454,708.92
| Facility | | $2,137,962.09 | $2,454,708.92 | $2,454,708.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,570,395.78 / $2,570,395.78 / $2,570,395.78
| Facility | | $2,570,395.78 | $2,570,395.78 | $2,570,395.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,570.40 / $2,570.40 / $2,570.40
| Professional | | $2,570.40 | $2,570.40 | $2,570.40 |