- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,341.33 / $977,237.22 / $1,584,893.19
| Facility | | $562,341.33 | $977,237.22 | $1,584,893.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,341.33 / $562,341.33 / $707,945.78
| Professional | | $562,341.33 | $562,341.33 | $707,945.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $0.03 / $660,693.45
| Facility | | $0.02 | $0.03 | $660,693.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,341.33 / $562,341.33 / $707,945.78
| Professional | | $562,341.33 | $562,341.33 | $707,945.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $691,830.97 / $1,548,816.62 / $2,041,737.94
| Facility | | $691,830.97 | $1,548,816.62 | $2,041,737.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $524,807.46 / $616,595.00 / $676,082.98
| Professional | | $524,807.46 | $616,595.00 | $676,082.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524,807.46 / $562,341.33 / $870,963.59
| Facility | | $524,807.46 | $562,341.33 | $870,963.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57,543.99 / $524,807.46 / $645,654.23
| Professional | | $57,543.99 | $524,807.46 | $645,654.23 |