- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489,304.61 / $812,935.00 / $1,116,560.00
| Facility | | $489,304.61 | $812,935.00 | $1,116,560.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,304.61 / $489,304.61 / $538,235.06
| Professional | | $489,304.61 | $489,304.61 | $538,235.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $466,620.00 / $489,720.00 / $586,740.00
| Professional | | $466,620.00 | $489,720.00 | $586,740.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489,304.61 / $489,304.61 / $489,304.61
| Facility | | $489,304.61 | $489,304.61 | $489,304.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $231,000.00 / $462,000.00 / $489,304.61
| Professional | | $231,000.00 | $462,000.00 | $489,304.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $729,204.75 / $876,024.50 / $876,024.50
| Professional | | $729,204.75 | $876,024.50 | $876,024.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89,304.61 / $476,406.40 / $476,406.40
| Professional | | $89,304.61 | $476,406.40 | $476,406.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,304.60 / $489,720.00 / $489,720.00
| Professional | | $489,304.60 | $489,720.00 | $489,720.00 |