- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $724,435.96 / $851,138.04 / $1,905,460.72
| Facility | | $724,435.96 | $851,138.04 | $1,905,460.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,341.33 / $562,341.33 / $758,577.58
| Professional | | $562,341.33 | $562,341.33 | $758,577.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $549,540.87 / $630,957.34 / $660,693.45
| Professional | | $549,540.87 | $630,957.34 | $660,693.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $537,031.80 / $676,082.98 / $1,096,478.20
| Professional | | $537,031.80 | $676,082.98 | $1,096,478.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,380.38 / $15,488.17 / $1,202,264.43
| Facility | | $1,380.38 | $15,488.17 | $1,202,264.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $575,439.94 / $575,439.94 / $575,439.94
| Professional | | $575,439.94 | $575,439.94 | $575,439.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457,088.19 / $707,945.78 / $954,992.59
| Facility | | $457,088.19 | $707,945.78 | $954,992.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $524,807.46 / $575,439.94 / $645,654.23
| Professional | | $524,807.46 | $575,439.94 | $645,654.23 |