- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $844,410.00 / $844,410.00 / $844,410.00
| Facility | | $844,410.00 | $844,410.00 | $844,410.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,538.18 / $562,538.18 / $714,423.49
| Professional | | $562,538.18 | $562,538.18 | $714,423.49 |
- 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
- Professional
- Modifier
- Low / Median / High Price
- $516,442.28 / $841,800.94 / $841,800.94
| Professional | | $516,442.28 | $841,800.94 | $841,800.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,538.18 / $573,788.94 / $714,423.49
| Facility | | $562,538.18 | $573,788.94 | $714,423.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $591,823.04 / $620,071.30 / $810,882.97
| Professional | | $591,823.04 | $620,071.30 | $810,882.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $516,442.29 / $516,442.29 / $852,129.78
| Facility | | $516,442.29 | $516,442.29 | $852,129.78 |
- 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 |