- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $618,792.00 / $1,083,270.00 / $1,126,600.00
| Facility | | $618,792.00 | $1,083,270.00 | $1,126,600.00 |
- 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
- $473,853.52 / $939,176.70 / $1,146,725.51
| Facility | | $473,853.52 | $939,176.70 | $1,146,725.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $560,338.55 / $984,720.00 / $984,720.00
| Professional | | $560,338.55 | $984,720.00 | $984,720.00 |
- 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
- Facility
- Modifier
- Low / Median / High Price
- $434,918.00 / $562,538.18 / $1,542,522.85
| Facility | | $434,918.00 | $562,538.18 | $1,542,522.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,538.18 / $562,538.18 / $703,172.74
| Professional | | $562,538.18 | $562,538.18 | $703,172.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.00 / $60.00 / $75.00
| Professional | | $30.00 | $60.00 | $75.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99,999.00 / $99,999.00 / $99,999.00
| Facility | | $99,999.00 | $99,999.00 | $99,999.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426,468.16 / $724,995.88 / $1,326,789.84
| Facility | | $426,468.16 | $724,995.88 | $1,326,789.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $545,721.02 / $570,083.56 / $998,864.37
| Professional | | $545,721.02 | $570,083.56 | $998,864.37 |
- 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 |