- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $432,480.00 / $432,480.00 / $618,369.00
| Facility | | $432,480.00 | $432,480.00 | $618,369.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $453,245.65 / $533,230.17 / $639,876.21
| Professional | | $453,245.65 | $533,230.17 | $639,876.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $667,854.31 / $983,073.49 / $1,161,131.09
| Facility | | $667,854.31 | $983,073.49 | $1,161,131.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $563,250.62 / $563,250.62 / $704,063.28
| Professional | | $563,250.62 | $563,250.62 | $704,063.28 |
- 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
- Facility
- Modifier
- Low / Median / High Price
- $1.38 / $453,245.65 / $660,676.80
| Facility | | $1.38 | $453,245.65 | $660,676.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.38 / $621,609.06 / $709,800.00
| Professional | | $1.38 | $621,609.06 | $709,800.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $853,168.27 / $876,841.03 / $1,021,135.78
| Professional | | $853,168.27 | $876,841.03 | $1,021,135.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $709,296.75 / $996,193.91 / $996,193.91
| Facility | | $709,296.75 | $996,193.91 | $996,193.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $974,415.94 / $974,415.94 / $974,415.94
| Professional | | $974,415.94 | $974,415.94 | $974,415.94 |