- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $590,665.09 / $590,665.09 / $1,947,380.00
| Facility | | $590,665.09 | $590,665.09 | $1,947,380.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $478,157.46 / $562,538.18 / $590,665.09
| Professional | | $478,157.46 | $562,538.18 | $590,665.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,538.18 / $596,796.76 / $769,270.97
| Professional | | $562,538.18 | $596,796.76 | $769,270.97 |
- 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
- Facility
- Modifier
- Low / Median / High Price
- $409,481.04 / $562,538.18 / $885,997.64
| Facility | | $409,481.04 | $562,538.18 | $885,997.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $409,481.04 / $409,481.04 / $656,242.12
| Professional | | $409,481.04 | $409,481.04 | $656,242.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.00 / $593,908.60 / $671,375.00
| Professional | | $30.00 | $593,908.60 | $671,375.00 |
- 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 |