- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $557,317.93 / $845,300.00 / $1,056,620.00
| Facility | | $557,317.93 | $845,300.00 | $1,056,620.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $557,317.93 / $562,891.11 / $574,037.47
| Professional | | $557,317.93 | $562,891.11 | $574,037.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $417,822.00 / $1,006,951.02 / $1,959,585.18
| Facility | | $417,822.00 | $1,006,951.02 | $1,959,585.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $701,837.44 / $960,235.50 / $995,514.08
| Facility | | $701,837.44 | $960,235.50 | $995,514.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $557,317.93 / $796,964.64 / $820,873.58
| Facility | | $557,317.93 | $796,964.64 | $820,873.58 |
- 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
- $557,317.93 / $796,964.64 / $1,036,611.36
| Facility | | $557,317.93 | $796,964.64 | $1,036,611.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $557,317.93 / $557,317.93 / $604,637.39
| Professional | | $557,317.93 | $557,317.93 | $604,637.39 |