- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,538.18 / $562,538.18 / $1,484,080.00
| Facility | | $562,538.18 | $562,538.18 | $1,484,080.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,538.18 / $562,538.18 / $590,665.09
| Professional | | $562,538.18 | $562,538.18 | $590,665.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $487,779.67 / $562,538.18 / $834,520.09
| Professional | | $487,779.67 | $562,538.18 | $834,520.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,702.00 / $516,442.29 / $1,173,724.48
| Facility | | $8,702.00 | $516,442.29 | $1,173,724.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $473,458.43 / $516,442.28 / $541,635.66
| Professional | | $473,458.43 | $516,442.28 | $541,635.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $421,913.95 / $516,442.29 / $1,368,572.07
| Facility | | $421,913.95 | $516,442.29 | $1,368,572.07 |