- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $1,578,830.00 / $4,005,070.00
| Facility | | $0.02 | $1,578,830.00 | $4,005,070.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $591,726.19 / $591,726.19 / $609,477.99
| Professional | | $591,726.19 | $591,726.19 | $609,477.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $0.02 / $781,525.18
| Facility | | $0.02 | $0.02 | $781,525.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $591,726.19 / $591,726.19 / $887,589.30
| Professional | | $591,726.19 | $591,726.19 | $887,589.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $591,726.19 / $650,898.80 / $887,589.30
| Facility | | $591,726.19 | $650,898.80 | $887,589.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $591,726.19 / $591,726.19 / $650,898.81
| Professional | | $591,726.19 | $591,726.19 | $650,898.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.81 / $493,816.14 / $620,937.13
| Professional | | $2.81 | $493,816.14 | $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 |