- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $848,091.00 / $1,137,360.00 / $1,801,150.00
| Facility | | $848,091.00 | $1,137,360.00 | $1,801,150.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $591,726.19 / $591,726.19 / $603,560.73
| Professional | | $591,726.19 | $591,726.19 | $603,560.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $488,926.88 / $493,816.14 / $611,158.59
| Professional | | $488,926.88 | $493,816.14 | $611,158.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $502,967.27 / $591,726.19 / $1,071,024.42
| Professional | | $502,967.27 | $591,726.19 | $1,071,024.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.89 / $542,778.31 / $799,628.76
| Facility | | $2.89 | $542,778.31 | $799,628.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $554,871.41 / $998,477.40 / $998,477.40
| Professional | | $554,871.41 | $998,477.40 | $998,477.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $554,871.41 / $607,709.68 / $848,435.75
| Facility | | $554,871.41 | $607,709.68 | $848,435.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $554,871.41 / $607,709.68 / $848,435.75
| Professional | | $554,871.41 | $607,709.68 | $848,435.75 |