- 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 / $591,726.19
| Professional | | $591,726.19 | $591,726.19 | $591,726.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $488,926.88 / $493,816.14 / $611,158.59
| Professional | | $488,926.88 | $493,816.14 | $611,158.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $819,013.70 / $1,327,868.36
| Facility | | $3.31 | $819,013.70 | $1,327,868.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $591,726.19 / $998,477.40 / $998,477.40
| Professional | | $591,726.19 | $998,477.40 | $998,477.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $554,871.41 / $694,525.35 / $848,435.75
| Facility | | $554,871.41 | $694,525.35 | $848,435.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $531,417.28 / $607,240.81 / $607,709.68
| Professional | | $531,417.28 | $607,240.81 | $607,709.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $647,549.43 / $647,549.43 / $647,549.43
| Professional | | $647,549.43 | $647,549.43 | $647,549.43 |