- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $533,230.00 / $979,790.00 / $1,178,650.00
| Facility | | $533,230.00 | $979,790.00 | $1,178,650.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,230.17 / $533,230.17 / $746,522.24
| Professional | | $533,230.17 | $533,230.17 | $746,522.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $491,726.20 / $578,501.41 / $578,501.41
| Facility | | $491,726.20 | $578,501.41 | $578,501.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $621,076.73 / $653,764.98 / $653,953.47
| Professional | | $621,076.73 | $653,764.98 | $653,953.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $503,580.00 / $533,794.80 / $639,546.60
| Professional | | $503,580.00 | $533,794.80 | $639,546.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.38 / $645,208.51 / $853,749.52
| Facility | | $1.38 | $645,208.51 | $853,749.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,230.17 / $957,600.00 / $957,600.00
| Professional | | $533,230.17 | $957,600.00 | $957,600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $513,993.01 / $559,730.30 / $734,275.73
| Facility | | $513,993.01 | $559,730.30 | $734,275.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $492,728.95 / $559,730.30 / $734,275.73
| Professional | | $492,728.95 | $559,730.30 | $734,275.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $622,664.92 / $623,879.30 / $1,087,789.55
| Professional | | $622,664.92 | $623,879.30 | $1,087,789.55 |