- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $533,230.00 / $653,108.00 / $1,074,325.00
| Facility | | $533,230.00 | $653,108.00 | $1,074,325.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,230.17 / $533,230.17 / $618,547.00
| Professional | | $533,230.17 | $533,230.17 | $618,547.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.70 / $1.31 / $2.76
| Facility | | $0.70 | $1.31 | $2.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $449,440.00 / $533,230.17 / $533,230.17
| Professional | | $449,440.00 | $533,230.17 | $533,230.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $730,992.41 / $1,286,167.96 / $1,682,511.60
| Facility | | $730,992.41 | $1,286,167.96 | $1,682,511.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $508,615.80 / $533,794.80 / $639,546.60
| Professional | | $508,615.80 | $533,794.80 | $639,546.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $395,380.00 / $395,380.00 / $395,380.00
| Facility | | $395,380.00 | $395,380.00 | $395,380.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33,230.17 / $33,230.17 / $33,230.17
| Professional | | $33,230.17 | $33,230.17 | $33,230.17 |