- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $565,868.94 / $565,868.94 / $565,868.94
| Facility | | $565,868.94 | $565,868.94 | $565,868.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $565,868.94 / $565,868.94 / $611,138.46
| Professional | | $565,868.94 | $565,868.94 | $611,138.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $522,055.50 / $987,637.67 / $2,044,162.97
| Facility | | $522,055.50 | $987,637.67 | $2,044,162.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $444,248.35 / $526,845.00 / $555,310.43
| Professional | | $444,248.35 | $526,845.00 | $555,310.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $966,284.36 / $1,662,830.30 / $2,024,392.01
| Facility | | $966,284.36 | $1,662,830.30 | $2,024,392.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $527,276.06 / $612,545.12 / $663,010.49
| Professional | | $527,276.06 | $612,545.12 | $663,010.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $833,479.01 / $1,517,441.32 / $1,904,458.46
| Facility | | $833,479.01 | $1,517,441.32 | $1,904,458.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $522,055.50 / $522,055.50 / $709,995.48
| Professional | | $522,055.50 | $522,055.50 | $709,995.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $839,971.66 / $881,970.24 / $1,358,085.46
| Facility | | $839,971.66 | $881,970.24 | $1,358,085.46 |