- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $415,908.92 / $415,908.92 / $568,075.00
| Facility | | $415,908.92 | $415,908.92 | $568,075.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $415,908.92 / $489,304.61 / $587,165.53
| Professional | | $415,908.92 | $489,304.61 | $587,165.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $545,160.00 / $954,030.00 / $954,030.00
| Facility | | $545,160.00 | $954,030.00 | $954,030.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $517,440.00 / $517,440.00 / $646,800.00
| Professional | | $517,440.00 | $517,440.00 | $646,800.00 |
- 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
- $356,160.00 / $415,908.92 / $616,523.81
| Facility | | $356,160.00 | $415,908.92 | $616,523.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $356,160.00 / $584,873.61 / $707,675.00
| Professional | | $356,160.00 | $584,873.61 | $707,675.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $782,887.37 / $804,843.64 / $937,018.32
| Professional | | $782,887.37 | $804,843.64 | $937,018.32 |
- 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 |