- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $758,577.58 / $891,250.94 / $1,949,844.60
| Facility | | $758,577.58 | $891,250.94 | $1,949,844.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $588,843.66 / $588,843.66 / $794,328.23
| Professional | | $588,843.66 | $588,843.66 | $794,328.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,778.28 / $16,218.10 / $1,412,537.54
| Facility | | $1,778.28 | $16,218.10 | $1,412,537.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $524,807.46 / $524,807.46 / $524,807.46
| Professional | | $524,807.46 | $524,807.46 | $524,807.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446,683.59 / $676,082.98 / $912,010.84
| Facility | | $446,683.59 | $676,082.98 | $912,010.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $588,843.66 / $588,843.66 / $630,957.34
| Professional | | $588,843.66 | $588,843.66 | $630,957.34 |