- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,733,000.00 / $1,733,000.00 / $1,733,000.00
| Facility | | $1,733,000.00 | $1,733,000.00 | $1,733,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,230.17 / $533,230.17 / $559,891.68
| Professional | | $533,230.17 | $533,230.17 | $559,891.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $513,651.60 / $533,076.48 / $563,250.62
| Facility | | $513,651.60 | $533,076.48 | $563,250.62 |
- 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
- $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
- $33,230.17 / $33,230.17 / $33,230.17
| Professional | | $33,230.17 | $33,230.17 | $33,230.17 |