- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $508,876.79 / $709,492.00 / $1,467,910.00
| Facility | | $508,876.79 | $709,492.00 | $1,467,910.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,304.61 / $489,304.61 / $592,561.00
| Professional | | $489,304.61 | $489,304.61 | $592,561.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $0.02 / $0.03
| Facility | | $0.02 | $0.02 | $0.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,304.61 / $489,304.61 / $489,304.61
| Professional | | $489,304.61 | $489,304.61 | $489,304.61 |
- 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
- Professional
- Modifier
- Low / Median / High Price
- $466,224.20 / $484,688.53 / $798,582.05
| Professional | | $466,224.20 | $484,688.53 | $798,582.05 |