- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489,304.61 / $489,304.61 / $978,609.00
| Facility | | $489,304.61 | $489,304.61 | $978,609.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,304.61 / $489,304.61 / $508,876.79
| Professional | | $489,304.61 | $489,304.61 | $508,876.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $422,940.00 / $969,564.37 / $1,543,266.74
| Facility | | $422,940.00 | $969,564.37 | $1,543,266.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,304.61 / $489,304.61 / $996,400.00
| Professional | | $489,304.61 | $489,304.61 | $996,400.00 |
- 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
- Facility
- Modifier
- Low / Median / High Price
- $1,909.00 / $65,018.00 / $735,804.30
| Facility | | $1,909.00 | $65,018.00 | $735,804.30 |
- 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
- $489,304.61 / $489,304.61 / $489,304.61
| Professional | | $489,304.61 | $489,304.61 | $489,304.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $650,867.43 / $969,564.37 / $969,564.37
| Facility | | $650,867.43 | $969,564.37 | $969,564.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $996,400.00 / $996,400.00 / $996,400.00
| Professional | | $996,400.00 | $996,400.00 | $996,400.00 |
- 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 |