- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489,778.82 / $1,023,292.99 / $2,089,296.13
| Facility | | $489,778.82 | $1,023,292.99 | $2,089,296.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,778.82 / $489,778.82 / $562,341.33
| Professional | | $489,778.82 | $489,778.82 | $562,341.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $0.02 / $0.04
| Facility | | $0.02 | $0.02 | $0.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,778.82 / $489,778.82 / $489,778.82
| Professional | | $489,778.82 | $489,778.82 | $489,778.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $467,735.14 / $467,735.14 / $588,843.66
| Professional | | $467,735.14 | $467,735.14 | $588,843.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,778.82 / $691,830.97 / $776,247.12
| Professional | | $489,778.82 | $691,830.97 | $776,247.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $446,683.59 / $489,778.82 / $489,778.82
| Professional | | $446,683.59 | $489,778.82 | $489,778.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,778.82 / $489,778.82 / $549,540.87
| Professional | | $489,778.82 | $489,778.82 | $549,540.87 |