- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,538.18 / $1,083,270.00 / $1,132,020.00
| Facility | | $562,538.18 | $1,083,270.00 | $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 / $0.02 / $0.05
| Facility | | $0.02 | $0.02 | $0.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,538.18 / $562,538.18 / $562,538.18
| Professional | | $562,538.18 | $562,538.18 | $562,538.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $536,663.75 / $536,663.75 / $589,798.78
| Professional | | $536,663.75 | $536,663.75 | $589,798.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,538.18 / $596,290.48 / $984,441.83
| Facility | | $562,538.18 | $596,290.48 | $984,441.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $613,166.62 / $618,792.00 / $804,429.61
| Professional | | $613,166.62 | $618,792.00 | $804,429.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $852,129.78 / $852,129.78 / $852,129.78
| Facility | | $852,129.78 | $852,129.78 | $852,129.78 |