- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $553,379.00 / $611,138.46 / $830,068.00
| Facility | | $553,379.00 | $611,138.46 | $830,068.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $611,138.46 / $611,138.46 / $611,138.46
| Professional | | $611,138.46 | $611,138.46 | $611,138.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,655.70 / $37,389.26 / $59,097.83
| Facility | | $23,655.70 | $37,389.26 | $59,097.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $565,868.93 / $735,819.56 / $957,538.78
| Facility | | $565,868.93 | $735,819.56 | $957,538.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912,729.35 / $912,729.35 / $912,729.35
| Facility | | $912,729.35 | $912,729.35 | $912,729.35 |