- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,538.18 / $1,040,700.00 / $1,234,930.00
| Facility | | $562,538.18 | $1,040,700.00 | $1,234,930.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,538.18 / $562,538.18 / $618,792.00
| Professional | | $562,538.18 | $562,538.18 | $618,792.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $536,663.75 / $563,231.27 / $674,814.82
| Professional | | $536,663.75 | $563,231.27 | $674,814.82 |
- 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
- $265,675.20 / $531,350.40 / $562,538.18
| Professional | | $265,675.20 | $531,350.40 | $562,538.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.00 / $50.00 / $70.00
| Professional | | $40.00 | $50.00 | $70.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $516,442.29 / $630,059.59 / $921,849.49
| Facility | | $516,442.29 | $630,059.59 | $921,849.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62,538.19 / $502,284.73 / $502,284.73
| Professional | | $62,538.19 | $502,284.73 | $502,284.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $541,635.69 / $541,635.69 / $562,538.19
| Professional | | $541,635.69 | $541,635.69 | $562,538.19 |