- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $586,553.18 / $1,066,150.00 / $1,108,800.00
| Facility | | $586,553.18 | $1,066,150.00 | $1,108,800.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,230.17 / $538,562.47 / $645,023.00
| Professional | | $533,230.17 | $538,562.47 | $645,023.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $449,440.00 / $910,095.33 / $1,087,644.80
| Facility | | $449,440.00 | $910,095.33 | $1,087,644.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $531,079.92 / $957,600.00 / $957,600.00
| Professional | | $531,079.92 | $957,600.00 | $957,600.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.87 / $533,794.80 / $639,546.60
| Professional | | $0.87 | $533,794.80 | $639,546.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $422,884.77 / $533,230.17 / $874,497.48
| Facility | | $422,884.77 | $533,230.17 | $874,497.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,230.17 / $533,230.17 / $666,537.71
| Professional | | $533,230.17 | $533,230.17 | $666,537.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.00 / $70.00 / $80.00
| Professional | | $30.00 | $70.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99,999.00 / $99,999.00 / $99,999.00
| Facility | | $99,999.00 | $99,999.00 | $99,999.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $404,496.00 / $695,932.84 / $1,258,432.00
| Facility | | $404,496.00 | $695,932.84 | $1,258,432.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $517,225.67 / $540,316.10 / $946,707.69
| Professional | | $517,225.67 | $540,316.10 | $946,707.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,517.20 / $533,230.19 / $533,230.19
| Professional | | $489,517.20 | $533,230.19 | $533,230.19 |