- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $565,868.94 / $1,083,760.00 / $1,250,800.00
| Facility | | $565,868.94 | $1,083,760.00 | $1,250,800.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $565,868.94 / $565,868.94 / $834,107.00
| Professional | | $565,868.94 | $565,868.94 | $834,107.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $460,433.41 / $583,215.66 / $613,911.22
| Facility | | $460,433.41 | $583,215.66 | $613,911.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $644,730.60 / $673,162.21 / $693,981.67
| Professional | | $644,730.60 | $673,162.21 | $693,981.67 |
- 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
- Facility
- Modifier
- Low / Median / High Price
- $944,346.84 / $957,538.78 / $957,538.78
| Facility | | $944,346.84 | $957,538.78 | $957,538.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $565,868.93 / $565,868.93 / $565,868.93
| Professional | | $565,868.93 | $565,868.93 | $565,868.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $545,015.86 / $580,827.76 / $826,977.51
| Facility | | $545,015.86 | $580,827.76 | $826,977.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $545,015.86 / $581,047.77 / $826,977.51
| Professional | | $545,015.86 | $581,047.77 | $826,977.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $503,384.06 / $674,866.55 / $1,465,898.65
| Facility | | $503,384.06 | $674,866.55 | $1,465,898.65 |