- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $846,044.00 / $1,190,770.00 / $1,796,800.00
| Facility | | $846,044.00 | $1,190,770.00 | $1,796,800.00 |
- 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
- $528,312.38 / $528,312.38 / $660,390.47
| Professional | | $528,312.38 | $528,312.38 | $660,390.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $150.00 / $557,317.93 / $1,008,745.45
| Professional | | $150.00 | $557,317.93 | $1,008,745.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $530,134.49 / $541,260.44 / $686,806.16
| Facility | | $530,134.49 | $541,260.44 | $686,806.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $530,134.49 / $568,323.47 / $792,468.64
| Professional | | $530,134.49 | $568,323.47 | $792,468.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $530,134.49 / $568,323.47 / $792,468.64
| Facility | | $530,134.49 | $568,323.47 | $792,468.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $530,134.49 / $554,728.05 / $792,468.64
| Professional | | $530,134.49 | $554,728.05 | $792,468.64 |