- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $565,868.94 / $664,055.00 / $1,205,810.00
| Facility | | $565,868.94 | $664,055.00 | $1,205,810.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $565,868.94 / $565,868.94 / $669,588.00
| Professional | | $565,868.94 | $565,868.94 | $669,588.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $551,318.34 / $551,318.34 / $551,318.34
| Facility | | $551,318.34 | $551,318.34 | $551,318.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $735,819.56 / $957,538.78 / $957,538.78
| Facility | | $735,819.56 | $957,538.78 | $957,538.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $553,169.30 / $912,729.35 / $1,189,314.00
| Facility | | $553,169.30 | $912,729.35 | $1,189,314.00 |