- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $557,317.93 / $1,082,520.00 / $1,253,970.00
| Facility | | $557,317.93 | $1,082,520.00 | $1,253,970.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $557,317.93 / $557,317.93 / $654,925.00
| Professional | | $557,317.93 | $557,317.93 | $654,925.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $0.02 / $0.04
| Facility | | $0.02 | $0.02 | $0.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $462,121.22 / $557,317.93 / $557,317.93
| Professional | | $462,121.22 | $557,317.93 | $557,317.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.90 / $99.00 / $633,974.93
| Facility | | $75.90 | $99.00 | $633,974.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $567,833.37 / $567,833.37 / $1,241,452.81
| Professional | | $567,833.37 | $567,833.37 | $1,241,452.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $501,586.14 / $613,049.72 / $1,214,953.09
| Professional | | $501,586.14 | $613,049.72 | $1,214,953.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $701,837.44 / $960,235.50 / $995,514.08
| Facility | | $701,837.44 | $960,235.50 | $995,514.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,891.11 / $796,964.64 / $1,553,579.46
| Facility | | $562,891.11 | $796,964.64 | $1,553,579.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $557,317.93 / $557,317.93 / $557,317.93
| Professional | | $557,317.93 | $557,317.93 | $557,317.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $445,854.35 / $613,049.73 / $947,440.49
| Professional | | $445,854.35 | $613,049.73 | $947,440.49 |