- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,341.33 / $562,341.33 / $1,122,018.45
| Facility | | $562,341.33 | $562,341.33 | $1,122,018.45 |
- 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
- $0.03 / $660,693.45 / $660,693.45
| Facility | | $0.03 | $660,693.45 | $660,693.45 |
- 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
- Facility
- Modifier
- Low / Median / High Price
- $562,341.33 / $562,341.33 / $891,250.94
| Facility | | $562,341.33 | $562,341.33 | $891,250.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,341.33 / $588,843.66 / $776,247.12
| Professional | | $562,341.33 | $588,843.66 | $776,247.12 |