- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,341.33 / $616,595.00 / $2,041,737.94
| Facility | | $562,341.33 | $616,595.00 | $2,041,737.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,341.33 / $575,439.94 / $891,250.94
| Professional | | $562,341.33 | $575,439.94 | $891,250.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.03 / $0.03 / $0.04
| Facility | | $0.03 | $0.03 | $0.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,341.33 / $562,341.33 / $645,654.23
| Professional | | $562,341.33 | $562,341.33 | $645,654.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $537,031.80 / $537,031.80 / $537,031.80
| Professional | | $537,031.80 | $537,031.80 | $537,031.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489,778.82 / $707,945.78 / $1,380,384.26
| Facility | | $489,778.82 | $707,945.78 | $1,380,384.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,341.33 / $645,654.23 / $707,945.78
| Facility | | $562,341.33 | $645,654.23 | $707,945.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $524,807.46 / $524,807.46 / $602,559.59
| Professional | | $524,807.46 | $524,807.46 | $602,559.59 |