- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $591,726.19 / $1,804,370.00 / $2,197,630.00
| Facility | | $591,726.19 | $1,804,370.00 | $2,197,630.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $591,726.19 / $591,726.19 / $597,643.46
| Professional | | $591,726.19 | $591,726.19 | $597,643.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $716,043.60 / $814,808.23 / $1,693,813.47
| Professional | | $716,043.60 | $814,808.23 | $1,693,813.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $518,262.49 / $518,262.49 / $620,937.13
| Professional | | $518,262.49 | $518,262.49 | $620,937.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $502,967.27 / $519,580.93 / $591,726.19
| Professional | | $502,967.27 | $519,580.93 | $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 |