- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $468,359.00 / $489,304.61 / $831,818.00
| Facility | | $468,359.00 | $489,304.61 | $831,818.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,304.61 / $489,304.61 / $587,165.53
| Professional | | $489,304.61 | $489,304.61 | $587,165.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.03 / $577,010.15 / $577,010.15
| Facility | | $0.03 | $577,010.15 | $577,010.15 |
- 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
- Facility
- Modifier
- Low / Median / High Price
- $489,304.60 / $660,561.30 / $782,887.40
| Facility | | $489,304.60 | $660,561.30 | $782,887.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,304.61 / $538,235.06 / $753,529.10
| Professional | | $489,304.61 | $538,235.06 | $753,529.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $466,620.00 / $466,620.00 / $512,820.00
| Professional | | $466,620.00 | $466,620.00 | $512,820.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,399.16 / $489,399.16 / $636,218.93
| Professional | | $489,399.16 | $489,399.16 | $636,218.93 |