- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $533,230.17 / $1,663,200.00 / $2,025,690.00
| Facility | | $533,230.17 | $1,663,200.00 | $2,025,690.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,230.17 / $533,230.17 / $538,562.47
| Professional | | $533,230.17 | $533,230.17 | $538,562.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $669,102.38 / $761,392.37 / $1,582,773.23
| Professional | | $669,102.38 | $761,392.37 | $1,582,773.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,794.80 / $533,794.80 / $639,546.60
| Professional | | $533,794.80 | $533,794.80 | $639,546.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $453,245.64 / $483,436.80 / $543,866.40
| Professional | | $453,245.64 | $483,436.80 | $543,866.40 |