- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,538.18 / $675,045.82 / $1,132,020.00
| Facility | | $562,538.18 | $675,045.82 | $1,132,020.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,538.18 / $562,538.18 / $652,544.29
| Professional | | $562,538.18 | $562,538.18 | $652,544.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $0.03 / $0.04
| Facility | | $0.02 | $0.03 | $0.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,538.18 / $562,538.18 / $568,163.56
| Professional | | $562,538.18 | $562,538.18 | $568,163.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $771,303.68 / $1,357,094.90 / $1,775,295.28
| Facility | | $771,303.68 | $1,357,094.90 | $1,775,295.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $563,231.27 / $563,231.27 / $674,814.82
| Professional | | $563,231.27 | $563,231.27 | $674,814.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $516,442.29 / $630,059.59 / $852,129.78
| Facility | | $516,442.29 | $630,059.59 | $852,129.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62,538.19 / $62,538.19 / $62,538.19
| Professional | | $62,538.19 | $62,538.19 | $62,538.19 |