- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,036,611.36 / $1,036,611.36 / $1,036,611.36
| Professional | | $1,036,611.36 | $1,036,611.36 | $1,036,611.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,482,354.24 / $1,482,354.24 / $1,482,354.24
| Facility | | $1,482,354.24 | $1,482,354.24 | $1,482,354.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $557,317.93 / $557,317.93 / $1,794,563.73
| Professional | | $557,317.93 | $557,317.93 | $1,794,563.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $797,452.72 / $887,564.89 / $1,394,744.82
| Facility | | $797,452.72 | $887,564.89 | $1,394,744.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $759,931.36 / $1,196,179.08 / $1,973,695.48
| Facility | | $759,931.36 | $1,196,179.08 | $1,973,695.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $604,637.39 / $604,637.39 / $604,637.39
| Professional | | $604,637.39 | $604,637.39 | $604,637.39 |