- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,538.18 / $1,689,900.00 / $2,058,220.00
| Facility | | $562,538.18 | $1,689,900.00 | $2,058,220.00 |
- 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
- Professional
- Modifier
- Low / Median / High Price
- $679,024.34 / $772,682.87 / $1,606,243.79
| Professional | | $679,024.34 | $772,682.87 | $1,606,243.79 |
- 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
- Professional
- Modifier
- Low / Median / High Price
- $478,157.46 / $510,096.35 / $573,858.40
| Professional | | $478,157.46 | $510,096.35 | $573,858.40 |
- 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 |