- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $533,230.17 / $986,476.00 / $1,215,410.00
| Facility | | $533,230.17 | $986,476.00 | $1,215,410.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,230.17 / $533,230.17 / $586,553.18
| Professional | | $533,230.17 | $533,230.17 | $586,553.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.87 / $508,615.80 / $639,546.60
| Professional | | $0.87 | $508,615.80 | $639,546.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $533,230.17 / $533,230.17 / $533,230.17
| Facility | | $533,230.17 | $533,230.17 | $533,230.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $251,790.00 / $503,580.00 / $533,230.17
| Professional | | $251,790.00 | $503,580.00 | $533,230.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.00 / $749,232.70 / $900,084.94
| Professional | | $40.00 | $749,232.70 | $900,084.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $476,406.40 / $476,406.40 / $476,406.40
| Professional | | $476,406.40 | $476,406.40 | $476,406.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,076.50 / $533,076.50 / $533,230.19
| Professional | | $533,076.50 | $533,076.50 | $533,230.19 |