- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $565,868.94 / $1,199,640.00 / $1,261,820.00
| Facility | | $565,868.94 | $1,199,640.00 | $1,261,820.00 |
- 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 / $0.03 / $0.04
| Facility | | $0.02 | $0.03 | $0.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $553,378.82 / $565,868.94 / $565,868.94
| Professional | | $553,378.82 | $565,868.94 | $565,868.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $565,868.90 / $565,868.90 / $1,109,103.00
| Facility | | $565,868.90 | $565,868.90 | $1,109,103.00 |
- 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
- $551,318.34 / $551,318.34 / $606,450.17
| Professional | | $551,318.34 | $551,318.34 | $606,450.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $553,169.30 / $1,078,680.13 / $1,078,680.13
| Facility | | $553,169.30 | $1,078,680.13 | $1,078,680.13 |