- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $591,726.19 / $693,990.00 / $1,260,170.00
| Facility | | $591,726.19 | $693,990.00 | $1,260,170.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $591,726.19 / $591,726.19 / $621,312.51
| Professional | | $591,726.19 | $591,726.19 | $621,312.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $518,262.49 / $536,144.14 / $620,937.13
| Professional | | $518,262.49 | $536,144.14 | $620,937.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $769,874.80 / $787,107.50 / $977,812.60
| Facility | | $769,874.80 | $787,107.50 | $977,812.60 |
- 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 |
- 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 |