- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,538.18 / $562,538.18 / $1,125,080.00
| Facility | | $562,538.18 | $562,538.18 | $1,125,080.00 |
- 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
- $434,918.00 / $974,419.42 / $1,774,245.45
| Facility | | $434,918.00 | $974,419.42 | $1,774,245.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,538.18 / $562,538.18 / $986,185.70
| Professional | | $562,538.18 | $562,538.18 | $986,185.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $563,231.27 / $563,231.27 / $674,814.82
| Professional | | $563,231.27 | $563,231.27 | $674,814.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,909.00 / $65,018.00 / $813,807.58
| Facility | | $1,909.00 | $65,018.00 | $813,807.58 |
- 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
- $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
- $748,281.94 / $974,419.42 / $974,419.42
| Facility | | $748,281.94 | $974,419.42 | $974,419.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $986,185.70 / $986,185.70 / $986,185.70
| Professional | | $986,185.70 | $986,185.70 | $986,185.70 |
- 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 |