- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $473,720.24 / $473,720.24 / $627,862.00
| Facility | | $473,720.24 | $473,720.24 | $627,862.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $473,720.24 / $473,720.24 / $654,925.00
| Professional | | $473,720.24 | $473,720.24 | $654,925.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $561,685.37 / $1,102,945.81 / $1,567,612.79
| Facility | | $561,685.37 | $1,102,945.81 | $1,567,612.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $571,897.82 / $571,897.82 / $571,897.82
| Professional | | $571,897.82 | $571,897.82 | $571,897.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $473,720.24 / $473,720.24 / $663,208.34
| Facility | | $473,720.24 | $473,720.24 | $663,208.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $418,662.68 / $418,662.68 / $418,662.68
| Professional | | $418,662.68 | $418,662.68 | $418,662.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $741,338.00 / $741,338.00 / $995,514.08
| Facility | | $741,338.00 | $741,338.00 | $995,514.08 |