- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $478,157.46 / $618,792.00 / $1,046,321.02
| Professional | | $478,157.46 | $618,792.00 | $1,046,321.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $568,163.56 / $1,046,321.02 / $1,496,239.06
| Facility | | $568,163.56 | $1,046,321.02 | $1,496,239.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,538.18 / $610,300.86 / $1,406,345.48
| Professional | | $562,538.18 | $610,300.86 | $1,406,345.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $779,601.46 / $892,668.67 / $1,402,765.06
| Facility | | $779,601.46 | $892,668.67 | $1,402,765.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $637,620.48 / $765,144.58 / $765,144.58
| Professional | | $637,620.48 | $765,144.58 | $765,144.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,538.18 / $1,046,321.02 / $1,930,410.64
| Facility | | $562,538.18 | $1,046,321.02 | $1,930,410.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $584,972.92 / $620,071.30 / $701,967.50
| Professional | | $584,972.92 | $620,071.30 | $701,967.50 |