- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $525,510.00 / $562,538.18 / $956,315.00
| Facility | | $525,510.00 | $562,538.18 | $956,315.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,538.18 / $562,538.18 / $655,379.00
| Professional | | $562,538.18 | $562,538.18 | $655,379.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.03 / $663,370.50 / $663,370.50
| Facility | | $0.03 | $663,370.50 | $663,370.50 |
- 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
- Facility
- Modifier
- Low / Median / High Price
- $562,538.19 / $759,426.60 / $900,061.10
| Facility | | $562,538.19 | $759,426.60 | $900,061.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,538.18 / $618,792.01 / $866,308.81
| Professional | | $562,538.18 | $618,792.01 | $866,308.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $536,663.75 / $536,663.75 / $589,798.78
| Professional | | $536,663.75 | $536,663.75 | $589,798.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $516,442.28 / $516,442.28 / $671,375.00
| Professional | | $516,442.28 | $516,442.28 | $671,375.00 |