- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,538.18 / $649,963.00 / $1,180,220.00
| Facility | | $562,538.18 | $649,963.00 | $1,180,220.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,538.18 / $562,538.18 / $590,665.09
| Professional | | $562,538.18 | $562,538.18 | $590,665.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $516,442.28 / $562,074.73 / $648,940.82
| Professional | | $516,442.28 | $562,074.73 | $648,940.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $563,231.27 / $571,973.51 / $674,814.82
| Professional | | $563,231.27 | $571,973.51 | $674,814.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $686,965.70 / $748,281.94 / $974,419.42
| Facility | | $686,965.70 | $748,281.94 | $974,419.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $984,720.00 / $986,185.70 / $986,185.70
| Professional | | $984,720.00 | $986,185.70 | $986,185.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $516,442.29 / $852,129.78 / $1,110,350.92
| Facility | | $516,442.29 | $852,129.78 | $1,110,350.92 |