- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $541,636.00 / $541,636.00 / $1,125,080.00
| Facility | | $541,636.00 | $541,636.00 | $1,125,080.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,538.18 / $562,538.18 / $655,379.00
| Professional | | $562,538.18 | $562,538.18 | $655,379.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $536,663.75 / $563,231.27 / $674,814.82
| Professional | | $536,663.75 | $563,231.27 | $674,814.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $178.00 / $562,538.18 / $1,181,330.20
| Professional | | $178.00 | $562,538.18 | $1,181,330.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,538.18 / $590,665.10 / $1,209,457.11
| Facility | | $562,538.18 | $590,665.10 | $1,209,457.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,538.18 / $663,795.06 / $731,299.65
| Professional | | $562,538.18 | $663,795.06 | $731,299.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,999.20 / $99,999.00 / $99,999.00
| Facility | | $79,999.20 | $99,999.00 | $99,999.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,538.18 / $591,823.04 / $1,158,828.67
| Facility | | $562,538.18 | $591,823.04 | $1,158,828.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $516,726.08 / $620,071.30 / $656,453.67
| Professional | | $516,726.08 | $620,071.30 | $656,453.67 |