- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,372,800.00 / $1,372,800.00 / $1,479,320.00
| Facility | | $1,372,800.00 | $1,372,800.00 | $1,479,320.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $591,726.19 / $615,395.25 / $621,312.51
| Professional | | $591,726.19 | $615,395.25 | $621,312.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $0.03 / $0.03
| Facility | | $0.02 | $0.03 | $0.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $591,726.19 / $591,726.19 / $591,726.19
| Professional | | $591,726.19 | $591,726.19 | $591,726.19 |
- 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
- $591,726.19 / $591,726.19 / $591,726.19
| Professional | | $591,726.19 | $591,726.19 | $591,726.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,372,800.00 / $1,372,800.00 / $1,479,320.00
| Facility | | $1,372,800.00 | $1,372,800.00 | $1,479,320.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $591,726.19 / $615,395.25 / $621,312.51
| Professional | | $591,726.19 | $615,395.25 | $621,312.51 |
- 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 |