- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $591,726.19 / $693,990.00 / $1,167,170.00
| Facility | | $591,726.19 | $693,990.00 | $1,167,170.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $591,726.19 / $591,726.19 / $621,312.51
| Professional | | $591,726.19 | $591,726.19 | $621,312.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $0.03 / $0.04
| Facility | | $0.02 | $0.03 | $0.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $591,726.19 / $591,726.19 / $597,643.45
| Professional | | $591,726.19 | $591,726.19 | $597,643.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $722,987.93 / $1,272,084.21 / $1,664,087.82
| Facility | | $722,987.93 | $1,272,084.21 | $1,664,087.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $493,816.14 / $518,262.49 / $620,937.13
| Professional | | $493,816.14 | $518,262.49 | $620,937.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $591,726.19 / $591,726.19 / $591,726.19
| Facility | | $591,726.19 | $591,726.19 | $591,726.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91,726.20 / $91,726.20 / $91,726.20
| Professional | | $91,726.20 | $91,726.20 | $91,726.20 |