- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,778,279.41 / $1,778,279.41 / $1,778,279.41
| Facility | | $1,778,279.41 | $1,778,279.41 | $1,778,279.41 |
- 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
- Facility
- Modifier
- Low / Median / High Price
- $2,398,832.92 / $2,398,832.92 / $2,398,832.92
| Facility | | $2,398,832.92 | $2,398,832.92 | $2,398,832.92 |
- 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
- $46,773.51 / $46,773.51 / $46,773.51
| Professional | | $46,773.51 | $46,773.51 | $46,773.51 |