- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $724,435.96 / $912,010.84 / $1,479,108.39
| Facility | | $724,435.96 | $912,010.84 | $1,479,108.39 |
- 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 / $0.02 / $0.03
| Facility | | $0.02 | $0.02 | $0.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $537,031.80 / $537,031.80 / $537,031.80
| Professional | | $537,031.80 | $537,031.80 | $537,031.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $512,861.38 / $537,031.80 / $645,654.23
| Professional | | $512,861.38 | $537,031.80 | $645,654.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.17 / $1.17 / $524,807.46
| Professional | | $1.17 | $1.17 | $524,807.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32,359.37 / $501,187.23 / $562,341.33
| Professional | | $32,359.37 | $501,187.23 | $562,341.33 |