- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,392.16 / $478,157.46 / $628,297.00
| Facility | | $17,392.16 | $478,157.46 | $628,297.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $478,157.46 / $562,538.18 / $655,379.00
| Professional | | $478,157.46 | $562,538.18 | $655,379.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,074.73 / $1,103,710.37 / $1,568,699.48
| Facility | | $562,074.73 | $1,103,710.37 | $1,568,699.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $572,294.27 / $572,294.27 / $715,367.84
| Professional | | $572,294.27 | $572,294.27 | $715,367.84 |
- 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
- $409,481.04 / $478,157.46 / $696,564.67
| Facility | | $409,481.04 | $478,157.46 | $696,564.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $409,481.04 / $656,242.12 / $748,905.00
| Professional | | $409,481.04 | $656,242.12 | $748,905.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $900,061.10 / $925,034.98 / $1,077,260.62
| Professional | | $900,061.10 | $925,034.98 | $1,077,260.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630,059.59 / $630,059.59 / $852,129.78
| Facility | | $630,059.59 | $630,059.59 | $852,129.78 |
- 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 |