- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489,304.61 / $489,304.61 / $1,037,330.00
| Facility | | $489,304.61 | $489,304.61 | $1,037,330.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,304.61 / $489,304.61 / $513,769.84
| Professional | | $489,304.61 | $489,304.61 | $513,769.84 |
- 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 / $499,090.70
| Professional | | $489,304.61 | $489,304.61 | $499,090.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489,304.60 / $489,304.60 / $959,037.10
| Facility | | $489,304.60 | $489,304.60 | $959,037.10 |
- 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
- $488,051.51 / $488,051.51 / $732,077.27
| Professional | | $488,051.51 | $488,051.51 | $732,077.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,450.20 / $675,441.28 / $905,482.87
| Professional | | $489,450.20 | $675,441.28 | $905,482.87 |
- 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 |