- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $565,868.94 / $1,106,760.00 / $1,273,210.00
| Facility | | $565,868.94 | $1,106,760.00 | $1,273,210.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $565,868.94 / $565,868.94 / $669,588.00
| Professional | | $565,868.94 | $565,868.94 | $669,588.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $0.02 / $0.04
| Facility | | $0.02 | $0.02 | $0.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $527,611.29 / $565,868.94 / $565,868.94
| Professional | | $527,611.29 | $565,868.94 | $565,868.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.50 / $97.40 / $666,372.50
| Facility | | $74.50 | $97.40 | $666,372.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $576,545.72 / $576,545.72 / $1,279,931.50
| Professional | | $576,545.72 | $576,545.72 | $1,279,931.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $509,282.05 / $622,455.82 / $1,233,594.29
| Professional | | $509,282.05 | $622,455.82 | $1,233,594.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $735,819.56 / $957,538.78 / $957,538.78
| Facility | | $735,819.56 | $957,538.78 | $957,538.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $571,527.63 / $809,192.60 / $1,577,416.26
| Facility | | $571,527.63 | $809,192.60 | $1,577,416.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $565,868.93 / $565,868.93 / $565,868.93
| Professional | | $565,868.93 | $565,868.93 | $565,868.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $452,695.16 / $622,455.84 / $961,977.21
| Professional | | $452,695.16 | $622,455.84 | $961,977.21 |