- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $362,717.17 / $582,845.01 / $1,597,240.00
| Facility | | $362,717.17 | $582,845.01 | $1,597,240.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $531,816.00 / $582,845.01 / $669,588.00
| Professional | | $531,816.00 | $582,845.01 | $669,588.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $126,905.13 / $787,597.48 / $2,115,749.79
| Facility | | $126,905.13 | $787,597.48 | $2,115,749.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,310.43 / $527,544.91 / $555,310.43
| Professional | | $55,310.43 | $527,544.91 | $555,310.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $531,816.00 / $666,372.53 / $1,479,780.00
| Facility | | $531,816.00 | $666,372.53 | $1,479,780.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $531,816.00 / $565,868.93 / $679,042.72
| Professional | | $531,816.00 | $565,868.93 | $679,042.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.00 / $30.00 / $30.00
| Professional | | $30.00 | $30.00 | $30.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $553,169.30 / $553,169.30 / $586,359.46
| Facility | | $553,169.30 | $553,169.30 | $586,359.46 |