- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537,031.80 / $645,654.23 / $1,071,519.31
| Facility | | $537,031.80 | $645,654.23 | $1,071,519.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $537,031.80 / $537,031.80 / $588,843.66
| Professional | | $537,031.80 | $537,031.80 | $588,843.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $0.03 / $0.05
| Facility | | $0.02 | $0.03 | $0.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $537,031.80 / $537,031.80 / $537,031.80
| Professional | | $537,031.80 | $537,031.80 | $537,031.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $537,031.80 / $537,031.80 / $575,439.94
| Professional | | $537,031.80 | $537,031.80 | $575,439.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32,359.37 / $32,359.37 / $64,565.42
| Professional | | $32,359.37 | $32,359.37 | $64,565.42 |