- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $533,077.00 / $581,220.89 / $1,228,030.00
| Facility | | $533,077.00 | $581,220.89 | $1,228,030.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,230.17 / $533,230.17 / $618,547.00
| Professional | | $533,230.17 | $533,230.17 | $618,547.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.03 / $0.87 / $0.87
| Facility | | $0.03 | $0.87 | $0.87 |
- 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
- 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
- Professional
- Modifier
- Low / Median / High Price
- $501,565.68 / $578,504.43 / $604,296.00
| Professional | | $501,565.68 | $578,504.43 | $604,296.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $540,936.93 / $540,936.93 / $540,936.93
| Facility | | $540,936.93 | $540,936.93 | $540,936.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,230.17 / $533,230.17 / $533,230.17
| Professional | | $533,230.17 | $533,230.17 | $533,230.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $660,765.54 / $660,765.54 / $660,765.54
| Professional | | $660,765.54 | $660,765.54 | $660,765.54 |