- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933,254.30 / $1,096,478.20 / $2,041,737.94
| Facility | | $933,254.30 | $1,096,478.20 | $2,041,737.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $588,843.66 / $588,843.66 / $2,238,721.14
| Professional | | $588,843.66 | $588,843.66 | $2,238,721.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.79 / $2.57 / $3.89
| Facility | | $0.79 | $2.57 | $3.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.79 / $1.58 / $3.89
| Professional | | $0.79 | $1.58 | $3.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602,559.59 / $741,310.24 / $851,138.04
| Facility | | $602,559.59 | $741,310.24 | $851,138.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549,540.87 / $549,540.87 / $912,010.84
| Facility | | $549,540.87 | $549,540.87 | $912,010.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $588,843.66 / $588,843.66 / $588,843.66
| Professional | | $588,843.66 | $588,843.66 | $588,843.66 |