- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $869,793.00 / $1,217,430.00 / $1,847,240.00
| Facility | | $869,793.00 | $1,217,430.00 | $1,847,240.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $565,868.94 / $565,868.94 / $565,868.94
| Professional | | $565,868.94 | $565,868.94 | $565,868.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $522,055.50 / $522,055.50 / $652,569.38
| Professional | | $522,055.50 | $522,055.50 | $652,569.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $406,487.24 / $565,868.94 / $866,284.29
| Professional | | $406,487.24 | $565,868.94 | $866,284.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $545,015.86 / $580,827.76 / $839,971.66
| Facility | | $545,015.86 | $580,827.76 | $839,971.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $550,662.61 / $581,047.77 / $826,977.51
| Professional | | $550,662.61 | $581,047.77 | $826,977.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $550,662.61 / $581,047.77 / $826,977.51
| Facility | | $550,662.61 | $581,047.77 | $826,977.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $545,015.86 / $580,827.76 / $826,977.51
| Professional | | $545,015.86 | $580,827.76 | $826,977.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912,729.35 / $912,729.35 / $912,729.35
| Facility | | $912,729.35 | $912,729.35 | $912,729.35 |