- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $565,868.94 / $1,460,920.00 / $1,682,270.00
| Facility | | $565,868.94 | $1,460,920.00 | $1,682,270.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $565,868.94 / $571,527.63 / $669,588.00
| Professional | | $565,868.94 | $571,527.63 | $669,588.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $521,827.26 / $613,914.42 / $767,393.03
| Facility | | $521,827.26 | $613,914.42 | $767,393.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $587,222.49 / $587,222.49 / $587,222.49
| Professional | | $587,222.49 | $587,222.49 | $587,222.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $640,606.35 / $640,606.35 / $1,114,449.62
| Facility | | $640,606.35 | $640,606.35 | $1,114,449.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,460,920.00 / $1,682,270.00 / $1,682,270.00
| Facility | | $1,460,920.00 | $1,682,270.00 | $1,682,270.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $565,868.94 / $571,527.63 / $1,682,270.00
| Professional | | $565,868.94 | $571,527.63 | $1,682,270.00 |