- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $828,552.00 / $1,081,250.00 / $1,759,660.00
| Facility | | $828,552.00 | $1,081,250.00 | $1,759,660.00 |
- 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
- Professional
- Modifier
- Low / Median / High Price
- $531,350.25 / $536,663.75 / $664,187.81
| Professional | | $531,350.25 | $536,663.75 | $664,187.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $478,157.46 / $562,538.18 / $1,018,194.12
| Professional | | $478,157.46 | $562,538.18 | $1,018,194.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $473,458.43 / $541,635.66 / $800,144.75
| Facility | | $473,458.43 | $541,635.66 | $800,144.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $519,174.15 / $984,720.00 / $984,720.00
| Professional | | $519,174.15 | $984,720.00 | $984,720.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $519,174.15 / $568,717.43 / $774,728.95
| Facility | | $519,174.15 | $568,717.43 | $774,728.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $519,174.15 / $568,717.43 / $774,728.95
| Professional | | $519,174.15 | $568,717.43 | $774,728.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,201.24 / $1,003,529.22 / $1,004,130.66
| Professional | | $562,201.24 | $1,003,529.22 | $1,004,130.66 |
- 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 |