- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $497,777.00 / $533,230.17 / $906,491.00
| Facility | | $497,777.00 | $533,230.17 | $906,491.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,230.17 / $533,230.17 / $639,876.21
| Professional | | $533,230.17 | $533,230.17 | $639,876.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.40 / $628,809.16 / $628,809.16
| Facility | | $1.40 | $628,809.16 | $628,809.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.87 / $533,230.17 / $533,230.17
| Professional | | $0.87 | $533,230.17 | $533,230.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $533,230.19 / $719,860.80 / $853,168.30
| Facility | | $533,230.19 | $719,860.80 | $853,168.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,230.17 / $586,553.18 / $821,174.46
| Professional | | $533,230.17 | $586,553.18 | $821,174.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.87 / $0.87 / $558,973.80
| Professional | | $0.87 | $0.87 | $558,973.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $502,840.72 / $533,076.48 / $653,692.93
| Professional | | $502,840.72 | $533,076.48 | $653,692.93 |