- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588,843.66 / $776,247.12 / $2,344,228.82
| Facility | | $588,843.66 | $776,247.12 | $2,344,228.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $478,630.09 / $562,341.33 / $676,082.98
| Professional | | $478,630.09 | $562,341.33 | $676,082.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,341.33 / $588,843.66 / $691,830.97
| Professional | | $562,341.33 | $588,843.66 | $691,830.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588,843.66 / $707,945.78 / $1,513,561.25
| Facility | | $588,843.66 | $707,945.78 | $1,513,561.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $30.20 / $30.20
| Professional | | $30.20 | $30.20 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524,807.46 / $562,341.33 / $1,202,264.43
| Facility | | $524,807.46 | $562,341.33 | $1,202,264.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $371,535.23 / $524,807.46 / $691,830.97
| Professional | | $371,535.23 | $524,807.46 | $691,830.97 |