- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $555,310.43 / $565,868.94 / $1,131,740.00
| Facility | | $555,310.43 | $565,868.94 | $1,131,740.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $565,868.94 / $565,868.94 / $588,503.69
| Professional | | $565,868.94 | $565,868.94 | $588,503.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $492,900.00 / $752,712.50 / $1,845,864.51
| Facility | | $492,900.00 | $752,712.50 | $1,845,864.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $565,868.94 / $565,868.94 / $622,455.84
| Professional | | $565,868.94 | $565,868.94 | $622,455.84 |
- 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
- Facility
- Modifier
- Low / Median / High Price
- $1,909.00 / $65,018.00 / $831,451.69
| Facility | | $1,909.00 | $65,018.00 | $831,451.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $565,868.94 / $565,868.94 / $1,175,196.63
| Professional | | $565,868.94 | $565,868.94 | $1,175,196.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $752,712.50 / $752,712.50 / $957,538.78
| Facility | | $752,712.50 | $752,712.50 | $957,538.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65,868.95 / $65,868.95 / $65,868.95
| Professional | | $65,868.95 | $65,868.95 | $65,868.95 |