- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489,778.82 / $851,138.04 / $1,412,537.54
| Facility | | $489,778.82 | $851,138.04 | $1,412,537.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,778.82 / $489,778.82 / $588,843.66
| Professional | | $489,778.82 | $489,778.82 | $588,843.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $0.03 / $575,439.94
| Facility | | $0.02 | $0.03 | $575,439.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,778.82 / $489,778.82 / $616,595.00
| Professional | | $489,778.82 | $489,778.82 | $616,595.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602,559.59 / $1,348,962.88 / $1,862,087.14
| Facility | | $602,559.59 | $1,348,962.88 | $1,862,087.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $457,088.19 / $537,031.80 / $588,843.66
| Professional | | $457,088.19 | $537,031.80 | $588,843.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489,778.82 / $489,778.82 / $812,830.52
| Facility | | $489,778.82 | $489,778.82 | $812,830.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89,125.09 / $489,778.82 / $549,540.87
| Professional | | $89,125.09 | $489,778.82 | $549,540.87 |