- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489,304.61 / $514,206.00 / $979,440.00
| Facility | | $489,304.61 | $514,206.00 | $979,440.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,304.61 / $489,304.61 / $567,593.35
| Professional | | $489,304.61 | $489,304.61 | $567,593.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $0.03 / $0.04
| Facility | | $0.02 | $0.03 | $0.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,304.61 / $489,304.61 / $494,197.65
| Professional | | $489,304.61 | $489,304.61 | $494,197.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $730,992.41 / $1,286,167.96 / $1,682,511.60
| Facility | | $730,992.41 | $1,286,167.96 | $1,682,511.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,720.00 / $489,720.00 / $586,740.00
| Professional | | $489,720.00 | $489,720.00 | $586,740.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,859,716.81 / $1,859,716.81 / $1,859,716.81
| Facility | | $1,859,716.81 | $1,859,716.81 | $1,859,716.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89,304.61 / $89,304.61 / $89,304.61
| Professional | | $89,304.61 | $89,304.61 | $89,304.61 |