- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,341.33 / $954,992.59 / $1,621,810.10
| Facility | | $562,341.33 | $954,992.59 | $1,621,810.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,341.33 / $562,341.33 / $676,082.98
| Professional | | $562,341.33 | $562,341.33 | $676,082.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $0.03 / $660,693.45
| Facility | | $0.02 | $0.03 | $660,693.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,341.33 / $562,341.33 / $707,945.78
| Professional | | $562,341.33 | $562,341.33 | $707,945.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $645,654.23 / $1,412,537.54 / $1,995,262.31
| Facility | | $645,654.23 | $1,412,537.54 | $1,995,262.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $537,031.80 / $588,843.66 / $676,082.98
| Professional | | $537,031.80 | $588,843.66 | $676,082.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512,861.38 / $562,341.33 / $851,138.04
| Facility | | $512,861.38 | $562,341.33 | $851,138.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61,659.50 / $512,861.38 / $602,559.59
| Professional | | $61,659.50 | $512,861.38 | $602,559.59 |