- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $557,317.93 / $557,317.93 / $557,317.93
| Facility | | $557,317.93 | $557,317.93 | $557,317.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $557,317.93 / $557,317.93 / $601,903.37
| Professional | | $557,317.93 | $557,317.93 | $601,903.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $526,587.59 / $1,033,382.20 / $1,988,348.21
| Facility | | $526,587.59 | $1,033,382.20 | $1,988,348.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $422,649.94 / $498,407.95 / $528,312.43
| Professional | | $422,649.94 | $498,407.95 | $528,312.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $922,514.60 / $1,587,509.11 / $1,932,693.18
| Facility | | $922,514.60 | $1,587,509.11 | $1,932,693.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,595.50 / $584,798.68 / $670,956.72
| Professional | | $533,595.50 | $584,798.68 | $670,956.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $795,724.93 / $1,448,705.81 / $1,818,192.25
| Facility | | $795,724.93 | $1,448,705.81 | $1,818,192.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $528,312.38 / $528,312.38 / $718,504.83
| Professional | | $528,312.38 | $528,312.38 | $718,504.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $541,260.44 / $541,260.44 / $1,337,563.03
| Facility | | $541,260.44 | $541,260.44 | $1,337,563.03 |