- 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
- $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
- $547,542.81 / $1,015,165.06 / $1,806,399.83
| Facility | | $547,542.81 | $1,015,165.06 | $1,806,399.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $342,414.00 / $380,460.00 / $380,460.00
| Professional | | $342,414.00 | $380,460.00 | $380,460.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $845,762.50 / $1,455,430.28 / $1,771,895.44
| Facility | | $845,762.50 | $1,455,430.28 | $1,771,895.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $493,816.14 / $536,144.14 / $620,937.13
| Professional | | $493,816.14 | $536,144.14 | $620,937.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $729,521.58 / $1,286,745.93 / $1,596,734.72
| Facility | | $729,521.58 | $1,286,745.93 | $1,596,734.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $487,403.76 / $488,926.88 / $511,091.56
| Professional | | $487,403.76 | $488,926.88 | $511,091.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $3.31 / $1,065,107.15
| Facility | | $3.31 | $3.31 | $1,065,107.15 |
- 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 |