- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $544,477.00 / $984,442.00 / $1,586,090.00
| Facility | | $544,477.00 | $984,442.00 | $1,586,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,538.18 / $562,538.18 / $585,039.71
| Professional | | $562,538.18 | $562,538.18 | $585,039.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $843,807.28 / $843,807.28 / $843,807.28
| Facility | | $843,807.28 | $843,807.28 | $843,807.28 |
- 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
- Professional
- Modifier
- Low / Median / High Price
- $450,030.55 / $562,538.18 / $843,807.29
| Professional | | $450,030.55 | $562,538.18 | $843,807.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $100.00 / $100.00
| Facility | | $100.00 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $731,299.65 / $731,299.65 / $731,299.65
| Professional | | $731,299.65 | $731,299.65 | $731,299.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $516,442.28 / $723,019.20 / $774,663.44
| Professional | | $516,442.28 | $723,019.20 | $774,663.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $516,442.29 / $852,129.78 / $852,129.78
| Facility | | $516,442.29 | $852,129.78 | $852,129.78 |
- 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 |