- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $480,796.00 / $549,227.07 / $1,066,150.00
| Facility | | $480,796.00 | $549,227.07 | $1,066,150.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $480,796.00 / $533,230.17 / $581,220.89
| Professional | | $480,796.00 | $533,230.17 | $581,220.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,270.08 / $735,344.52 / $1,993,715.39
| Facility | | $68,270.08 | $735,344.52 | $1,993,715.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $746,522.24 / $746,522.24 / $746,522.24
| Professional | | $746,522.24 | $746,522.24 | $746,522.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $508,615.80 / $558,973.80 / $639,546.60
| Professional | | $508,615.80 | $558,973.80 | $639,546.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $518,687.40 / $604,296.00 / $1,287,800.00
| Facility | | $518,687.40 | $604,296.00 | $1,287,800.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $480,796.00 / $533,230.17 / $639,876.19
| Professional | | $480,796.00 | $533,230.17 | $639,876.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $502,840.73 / $553,124.80 / $719,653.24
| Professional | | $502,840.73 | $553,124.80 | $719,653.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $224.64 / $224.64 / $224.64
| Professional | | $224.64 | $224.64 | $224.64 |