- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $557,317.93 / $1,054,170.00 / $1,231,900.00
| Facility | | $557,317.93 | $1,054,170.00 | $1,231,900.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $557,317.93 / $557,317.93 / $811,332.00
| Professional | | $557,317.93 | $557,317.93 | $811,332.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $453,475.67 / $574,402.52 / $604,634.23
| Facility | | $453,475.67 | $574,402.52 | $604,634.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $630,611.71 / $662,989.87 / $683,494.70
| Professional | | $630,611.71 | $662,989.87 | $683,494.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $528,312.38 / $528,312.38 / $660,390.47
| Professional | | $528,312.38 | $528,312.38 | $660,390.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $541,260.44 / $541,260.44 / $960,235.50
| Facility | | $541,260.44 | $541,260.44 | $960,235.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $557,317.93 / $557,317.93 / $557,317.93
| Professional | | $557,317.93 | $557,317.93 | $557,317.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $526,228.26 / $554,728.05 / $792,468.64
| Facility | | $526,228.26 | $554,728.05 | $792,468.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $530,134.49 / $564,158.43 / $792,468.64
| Professional | | $530,134.49 | $564,158.43 | $792,468.64 |