- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $533,230.17 / $1,407,320.00 / $1,620,550.00
| Facility | | $533,230.17 | $1,407,320.00 | $1,620,550.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,230.17 / $533,230.17 / $554,559.38
| Professional | | $533,230.17 | $533,230.17 | $554,559.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,850.02 / $578,504.43 / $723,130.54
| Facility | | $77,850.02 | $578,504.43 | $723,130.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $553,352.06 / $553,352.06 / $553,352.06
| Professional | | $553,352.06 | $553,352.06 | $553,352.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $508,615.80 / $533,794.80 / $639,546.60
| Professional | | $508,615.80 | $533,794.80 | $639,546.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.17 / $1.38 / $791,041.93
| Professional | | $1.17 | $1.38 | $791,041.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $517,669.24 / $1,620,550.00 / $1,620,550.00
| Facility | | $517,669.24 | $1,620,550.00 | $1,620,550.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,230.17 / $533,230.17 / $645,023.00
| Professional | | $533,230.17 | $533,230.17 | $645,023.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $639,876.21 / $789,180.65 / $1,066,460.34
| Professional | | $639,876.21 | $789,180.65 | $1,066,460.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $508,615.80 / $533,794.80 / $639,546.60
| Professional | | $508,615.80 | $533,794.80 | $639,546.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33,230.17 / $33,230.17 / $33,230.17
| Professional | | $33,230.17 | $33,230.17 | $33,230.17 |