- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,538.18 / $562,538.18 / $562,538.18
| Facility | | $562,538.18 | $562,538.18 | $562,538.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,538.18 / $562,538.18 / $618,792.00
| Professional | | $562,538.18 | $562,538.18 | $618,792.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $520,723.39 / $1,012,017.39 / $1,947,239.82
| Facility | | $520,723.39 | $1,012,017.39 | $1,947,239.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $425,080.32 / $515,409.89 / $531,350.40
| Professional | | $425,080.32 | $515,409.89 | $531,350.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $902,283.02 / $1,552,693.60 / $1,890,307.46
| Facility | | $902,283.02 | $1,552,693.60 | $1,890,307.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $536,663.75 / $571,973.51 / $674,814.82
| Professional | | $536,663.75 | $571,973.51 | $674,814.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $778,273.96 / $1,372,736.43 / $1,703,441.11
| Facility | | $778,273.96 | $1,372,736.43 | $1,703,441.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $519,975.92 / $531,350.25 / $552,686.17
| Professional | | $519,975.92 | $531,350.25 | $552,686.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $541,635.66 / $984,441.83 / $1,654,818.59
| Facility | | $541,635.66 | $984,441.83 | $1,654,818.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $984,720.00 / $984,720.00 / $984,720.00
| Professional | | $984,720.00 | $984,720.00 | $984,720.00 |
- 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 |