- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $650,898.81 / $1,156,650.00 / $1,202,920.00
| Facility | | $650,898.81 | $1,156,650.00 | $1,202,920.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $591,726.19 / $597,643.46 / $650,898.81
| Professional | | $591,726.19 | $597,643.46 | $650,898.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $511,072.50 / $977,812.60 / $1,236,795.44
| Facility | | $511,072.50 | $977,812.60 | $1,236,795.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $611,059.93 / $998,477.40 / $998,477.40
| Professional | | $611,059.93 | $998,477.40 | $998,477.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.81 / $518,262.49 / $620,937.13
| Professional | | $2.81 | $518,262.49 | $620,937.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $453,856.60 / $591,726.19 / $970,430.97
| Facility | | $453,856.60 | $591,726.19 | $970,430.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $591,726.19 / $591,726.19 / $739,657.75
| Professional | | $591,726.19 | $591,726.19 | $739,657.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.00 / $50.00 / $75.00
| Professional | | $30.00 | $50.00 | $75.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99,999.00 / $99,999.00 / $99,999.00
| Facility | | $99,999.00 | $99,999.00 | $99,999.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $434,411.62 / $817,716.00 / $1,431,002.99
| Facility | | $434,411.62 | $817,716.00 | $1,431,002.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $597,640.28 / $624,320.65 / $1,093,895.14
| Professional | | $597,640.28 | $624,320.65 | $1,093,895.14 |
- 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
- $565,623.80 / $591,726.19 / $591,726.19
| Professional | | $565,623.80 | $591,726.19 | $591,726.19 |