- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537,031.80 / $912,010.84 / $1,513,561.25
| Facility | | $537,031.80 | $912,010.84 | $1,513,561.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $537,031.80 / $537,031.80 / $645,654.23
| Professional | | $537,031.80 | $537,031.80 | $645,654.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $0.03 / $630,957.34
| Facility | | $0.02 | $0.03 | $630,957.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.05 / $537,031.80 / $616,595.00
| Professional | | $1.05 | $537,031.80 | $616,595.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602,559.59 / $1,348,962.88 / $1,862,087.14
| Facility | | $602,559.59 | $1,348,962.88 | $1,862,087.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $501,187.23 / $588,843.66 / $645,654.23
| Professional | | $501,187.23 | $588,843.66 | $645,654.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501,187.23 / $537,031.80 / $831,763.77
| Facility | | $501,187.23 | $537,031.80 | $831,763.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32,359.37 / $501,187.23 / $588,843.66
| Professional | | $32,359.37 | $501,187.23 | $588,843.66 |