- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $828,416.68 / $828,416.68 / $828,416.68
| Facility | | $828,416.68 | $828,416.68 | $828,416.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $591,726.19 / $603,560.73 / $828,416.68
| Professional | | $591,726.19 | $603,560.73 | $828,416.68 |
- 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
- Facility
- Modifier
- Low / Median / High Price
- $2.76 / $494,315.96 / $747,603.46
| Facility | | $2.76 | $494,315.96 | $747,603.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $998,477.40 / $998,477.40 / $998,477.40
| Professional | | $998,477.40 | $998,477.40 | $998,477.40 |
- 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 |