- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,052,516.24 / $1,052,516.24 / $1,052,516.24
| Professional | | $1,052,516.24 | $1,052,516.24 | $1,052,516.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,505,098.22 / $1,505,098.22 / $1,505,098.22
| Facility | | $1,505,098.22 | $1,505,098.22 | $1,505,098.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $565,868.94 / $565,868.94 / $1,822,098.02
| Professional | | $565,868.94 | $565,868.94 | $1,822,098.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $832,178.62 / $877,053.24 / $1,378,226.52
| Facility | | $832,178.62 | $877,053.24 | $1,378,226.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $766,320.00 / $1,252,933.20 / $2,067,339.78
| Facility | | $766,320.00 | $1,252,933.20 | $2,067,339.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $613,914.42 / $613,914.42 / $613,914.42
| Professional | | $613,914.42 | $613,914.42 | $613,914.42 |