- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $565,868.94 / $660,231.49 / $1,174,030.00
| Facility | | $565,868.94 | $660,231.49 | $1,174,030.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $565,868.94 / $565,868.94 / $662,997.99
| Professional | | $565,868.94 | $565,868.94 | $662,997.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $0.03 / $0.04
| Facility | | $0.02 | $0.03 | $0.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $565,868.93 / $565,868.94 / $565,868.94
| Professional | | $565,868.93 | $565,868.94 | $565,868.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $551,318.34 / $551,318.34 / $551,318.34
| Facility | | $551,318.34 | $551,318.34 | $551,318.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $527,276.06 / $612,545.12 / $652,569.38
| Professional | | $527,276.06 | $612,545.12 | $652,569.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $553,169.30 / $674,866.55 / $912,729.35
| Facility | | $553,169.30 | $674,866.55 | $912,729.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65,868.95 / $65,868.95 / $65,868.95
| Professional | | $65,868.95 | $65,868.95 | $65,868.95 |