- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588,843.66 / $1,230,268.77 / $2,511,886.43
| Facility | | $588,843.66 | $1,230,268.77 | $2,511,886.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $588,843.66 / $588,843.66 / $707,945.78
| Professional | | $588,843.66 | $588,843.66 | $707,945.78 |
- 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
- $831,763.77 / $831,763.77 / $831,763.77
| Professional | | $831,763.77 | $831,763.77 | $831,763.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489,778.82 / $588,843.66 / $588,843.66
| Professional | | $489,778.82 | $588,843.66 | $588,843.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562,341.33 / $588,843.66 / $645,654.23
| Professional | | $562,341.33 | $588,843.66 | $645,654.23 |