- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354,813.39 / $562,341.33 / $2,238,721.14
| Facility | | $354,813.39 | $562,341.33 | $2,238,721.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $537,031.80 / $537,031.80 / $616,595.00
| Professional | | $537,031.80 | $537,031.80 | $616,595.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $537,031.80 / $588,843.66 / $660,693.45
| Professional | | $537,031.80 | $588,843.66 | $660,693.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $512,861.38 / $537,031.80 / $645,654.23
| Professional | | $512,861.38 | $537,031.80 | $645,654.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.62 / $562,341.33 / $954,992.59
| Facility | | $1.62 | $562,341.33 | $954,992.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $30.20 / $30.20
| Professional | | $30.20 | $30.20 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501,187.23 / $537,031.80 / $1,148,153.62
| Facility | | $501,187.23 | $537,031.80 | $1,148,153.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $467,735.14 / $537,031.80 / $549,540.87
| Professional | | $467,735.14 | $537,031.80 | $549,540.87 |