- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489,304.61 / $1,292,860.00 / $1,488,750.00
| Facility | | $489,304.61 | $1,292,860.00 | $1,488,750.00 |
- 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
- $77,850.02 / $530,849.34 / $663,561.68
| Facility | | $77,850.02 | $530,849.34 | $663,561.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $507,768.93 / $507,768.93 / $507,768.93
| Professional | | $507,768.93 | $507,768.93 | $507,768.93 |
- 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
- Professional
- Modifier
- Low / Median / High Price
- $466,224.20 / $466,224.20 / $725,878.77
| Professional | | $466,224.20 | $466,224.20 | $725,878.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,292,860.00 / $1,488,750.00 / $1,488,750.00
| Facility | | $1,292,860.00 | $1,488,750.00 | $1,488,750.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,304.61 / $489,304.61 / $592,561.00
| Professional | | $489,304.61 | $489,304.61 | $592,561.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $587,340.24 / $724,386.30 / $978,900.40
| Professional | | $587,340.24 | $724,386.30 | $978,900.40 |
- 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
- 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 |