- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $533,230.17 / $1,055,490.00 / $1,150,570.00
| Facility | | $533,230.17 | $1,055,490.00 | $1,150,570.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,230.17 / $533,230.17 / $559,891.68
| Professional | | $533,230.17 | $533,230.17 | $559,891.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.87 / $1.42 / $3.19
| Facility | | $0.87 | $1.42 | $3.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,230.17 / $533,230.17 / $543,894.77
| Professional | | $533,230.17 | $533,230.17 | $543,894.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $533,230.19 / $533,230.19 / $1,045,131.00
| Facility | | $533,230.19 | $533,230.19 | $1,045,131.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,230.17 / $533,230.17 / $533,230.17
| Professional | | $533,230.17 | $533,230.17 | $533,230.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.87 / $0.87 / $0.87
| Professional | | $0.87 | $0.87 | $0.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,517.15 / $489,517.15 / $734,275.73
| Professional | | $489,517.15 | $489,517.15 | $734,275.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $532,192.24 / $735,857.64 / $986,475.82
| Professional | | $532,192.24 | $735,857.64 | $986,475.82 |