- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489,304.61 / $489,304.61 / $489,304.61
| Facility | | $489,304.61 | $489,304.61 | $489,304.61 |
- 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
- $462,000.00 / $466,620.00 / $577,500.00
| Professional | | $462,000.00 | $466,620.00 | $577,500.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489,304.61 / $778,296.38 / $1,231,465.60
| Facility | | $489,304.61 | $778,296.38 | $1,231,465.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,304.61 / $996,400.00 / $996,400.00
| Professional | | $489,304.61 | $996,400.00 | $996,400.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $487,957.01 / $587,278.99 / $732,077.27
| Facility | | $487,957.01 | $587,278.99 | $732,077.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $487,957.01 / $513,869.11 / $514,206.00
| Professional | | $487,957.01 | $513,869.11 | $514,206.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $535,465.42 / $535,465.42 / $535,465.42
| Professional | | $535,465.42 | $535,465.42 | $535,465.42 |