- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $506,601.00 / $633,961.00 / $1,083,270.00
| Facility | | $506,601.00 | $633,961.00 | $1,083,270.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $506,601.00 / $562,538.18 / $613,166.62
| Professional | | $506,601.00 | $562,538.18 | $613,166.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $115,360.88 / $764,584.91 / $2,103,296.29
| Facility | | $115,360.88 | $764,584.91 | $2,103,296.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $504,782.88 / $552,604.42 / $717,323.04
| Professional | | $504,782.88 | $552,604.42 | $717,323.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $536,663.75 / $589,798.78 / $674,814.82
| Professional | | $536,663.75 | $589,798.78 | $674,814.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,538.18 / $886,551.00 / $1,356,920.00
| Facility | | $562,538.18 | $886,551.00 | $1,356,920.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $506,601.00 / $562,538.18 / $675,045.82
| Professional | | $506,601.00 | $562,538.18 | $675,045.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $516,442.29 / $759,426.55 / $843,807.28
| Professional | | $516,442.29 | $759,426.55 | $843,807.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $516,442.29 / $516,442.29 / $516,442.29
| Facility | | $516,442.29 | $516,442.29 | $516,442.29 |
- 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 |