- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,538.18 / $1,072,440.00 / $1,163,490.00
| Facility | | $562,538.18 | $1,072,440.00 | $1,163,490.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,538.18 / $562,538.18 / $590,665.09
| Professional | | $562,538.18 | $562,538.18 | $590,665.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $0.03 / $0.04
| Facility | | $0.02 | $0.03 | $0.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,538.18 / $562,538.18 / $573,788.94
| Professional | | $562,538.18 | $562,538.18 | $573,788.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,538.19 / $562,538.19 / $1,102,575.00
| Facility | | $562,538.19 | $562,538.19 | $1,102,575.00 |
- 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
- $516,485.97 / $516,485.97 / $774,728.96
| Professional | | $516,485.97 | $516,485.97 | $774,728.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,538.18 / $776,302.70 / $1,040,695.64
| Professional | | $562,538.18 | $776,302.70 | $1,040,695.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $516,442.29 / $1,007,062.47 / $1,007,062.47
| Facility | | $516,442.29 | $1,007,062.47 | $1,007,062.47 |