- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $541,636.00 / $568,717.00 / $812,454.00
| Facility | | $541,636.00 | $568,717.00 | $812,454.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,538.18 / $568,163.56 / $655,379.00
| Professional | | $562,538.18 | $568,163.56 | $655,379.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,717.85 / $37,409.98 / $59,097.83
| Facility | | $23,717.85 | $37,409.98 | $59,097.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $541,635.66 / $815,680.38 / $1,014,337.33
| Facility | | $541,635.66 | $815,680.38 | $1,014,337.33 |
- 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
- Facility
- Modifier
- Low / Median / High Price
- $852,129.78 / $852,129.78 / $852,129.78
| Facility | | $852,129.78 | $852,129.78 | $852,129.78 |