- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $565,868.94 / $572,329.43 / $1,600,280.00
| Facility | | $565,868.94 | $572,329.43 | $1,600,280.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $565,868.94 / $565,868.94 / $571,527.63
| Professional | | $565,868.94 | $565,868.94 | $571,527.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,243.00 / $13,785.00 / $1,199,171.92
| Facility | | $3,243.00 | $13,785.00 | $1,199,171.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $469,381.46 / $527,276.06 / $527,276.06
| Professional | | $469,381.46 | $527,276.06 | $527,276.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $451,671.04 / $553,169.30 / $1,465,898.65
| Facility | | $451,671.04 | $553,169.30 | $1,465,898.65 |