- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $780,245.11 / $780,245.11 / $780,245.11
| Facility | | $780,245.11 | $780,245.11 | $780,245.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $557,317.93 / $568,464.29 / $780,245.11
| Professional | | $557,317.93 | $568,464.29 | $780,245.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $451,069.50 / $473,622.98 / $497,553.40
| Facility | | $451,069.50 | $473,622.98 | $497,553.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $529,633.21 / $529,633.21 / $529,633.21
| Professional | | $529,633.21 | $529,633.21 | $529,633.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $493,122.73 / $565,640.78 / $735,689.80
| Facility | | $493,122.73 | $565,640.78 | $735,689.80 |