- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,538.18 / $562,538.18 / $562,538.18
| Facility | | $562,538.18 | $562,538.18 | $562,538.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,538.18 / $562,538.18 / $675,045.82
| Professional | | $562,538.18 | $562,538.18 | $675,045.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,175.49 / $73,025.77 / $98,243.04
| Facility | | $60,175.49 | $73,025.77 | $98,243.04 |
- 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 / $516,442.29 / $630,059.59
| Facility | | $516,442.29 | $516,442.29 | $630,059.59 |
- 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 |