- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $565,868.94 / $862,718.00 / $862,718.00
| Facility | | $565,868.94 | $862,718.00 | $862,718.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $565,868.94 / $718,653.56 / $774,730.00
| Professional | | $565,868.94 | $718,653.56 | $774,730.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $799,411.59 / $2,780,188.12 / $4,443,625.82
| Facility | | $799,411.59 | $2,780,188.12 | $4,443,625.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $527,123.43 / $527,123.43 / $527,123.43
| Facility | | $527,123.43 | $527,123.43 | $527,123.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $553,169.30 / $553,169.30 / $912,729.35
| Facility | | $553,169.30 | $553,169.30 | $912,729.35 |