- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,341.33 / $741,310.24 / $1,318,256.74
| Facility | | $562,341.33 | $741,310.24 | $1,318,256.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,341.33 / $562,341.33 / $741,310.24
| Professional | | $562,341.33 | $562,341.33 | $741,310.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,341.33 / $562,341.33 / $562,341.33
| Professional | | $562,341.33 | $562,341.33 | $562,341.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $53,703.18 / $691,830.97
| Facility | | $50,118.72 | $53,703.18 | $691,830.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $537,031.80 / $588,843.66 / $676,082.98
| Professional | | $537,031.80 | $588,843.66 | $676,082.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,341.33 / $691,830.97 / $1,778,279.41
| Facility | | $562,341.33 | $691,830.97 | $1,778,279.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $478,630.09 / $562,341.33 / $912,010.84
| Professional | | $478,630.09 | $562,341.33 | $912,010.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537,031.80 / $562,341.33 / $562,341.33
| Facility | | $537,031.80 | $562,341.33 | $562,341.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $537,031.80 / $537,031.80 / $562,341.33
| Professional | | $537,031.80 | $537,031.80 | $562,341.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $53,703.18 / $1,174,897.55
| Facility | | $50,118.72 | $53,703.18 | $1,174,897.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $588,843.66 / $588,843.66 / $588,843.66
| Professional | | $588,843.66 | $588,843.66 | $588,843.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,341.33 / $562,341.33 / $562,341.33
| Facility | | $562,341.33 | $562,341.33 | $562,341.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $436,515.83 / $512,861.38 / $630,957.34
| Professional | | $436,515.83 | $512,861.38 | $630,957.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537,031.80 / $562,341.33 / $616,595.00
| Facility | | $537,031.80 | $562,341.33 | $616,595.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $537,031.80 / $537,031.80 / $562,341.33
| Professional | | $537,031.80 | $537,031.80 | $562,341.33 |