- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,341.33 / $630,957.34 / $1,202,264.43
| Facility | | $562,341.33 | $630,957.34 | $1,202,264.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,341.33 / $562,341.33 / $630,957.34
| Professional | | $562,341.33 | $562,341.33 | $630,957.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $0.04 / $0.05
| Facility | | $0.02 | $0.04 | $0.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,341.33 / $562,341.33 / $562,341.33
| Professional | | $562,341.33 | $562,341.33 | $562,341.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,341.33 / $562,341.33 / $616,595.00
| Professional | | $562,341.33 | $562,341.33 | $616,595.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524,807.46 / $1,023,292.99 / $1,445,439.77
| Facility | | $524,807.46 | $1,023,292.99 | $1,445,439.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $524,807.46 / $630,957.34 / $676,082.98
| Professional | | $524,807.46 | $630,957.34 | $676,082.98 |