- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,659,586.91 / $1,659,586.91 / $1,949,844.60
| Facility | | $1,659,586.91 | $1,659,586.91 | $1,949,844.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,341.33 / $562,341.33 / $616,595.00
| Professional | | $562,341.33 | $562,341.33 | $616,595.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $549,540.87 / $549,540.87 / $660,693.45
| Professional | | $549,540.87 | $549,540.87 | $660,693.45 |
- 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
- $3.31 / $575,439.94 / $977,237.22
| Facility | | $3.31 | $575,439.94 | $977,237.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,023,292.99 / $1,023,292.99 / $1,023,292.99
| Professional | | $1,023,292.99 | $1,023,292.99 | $1,023,292.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,341.33 / $562,341.33 / $562,341.33
| Facility | | $562,341.33 | $562,341.33 | $562,341.33 |
- 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 |