- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $565,868.94 / $882,109.00 / $1,102,640.00
| Facility | | $565,868.94 | $882,109.00 | $1,102,640.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $565,868.94 / $571,527.63 / $582,845.01
| Professional | | $565,868.94 | $571,527.63 | $582,845.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $463,140.00 / $1,134,693.00 / $2,199,915.00
| Facility | | $463,140.00 | $1,134,693.00 | $2,199,915.00 |
- 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
- $565,868.93 / $809,192.60 / $833,468.36
| Facility | | $565,868.93 | $809,192.60 | $833,468.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $565,868.93 / $565,868.93 / $565,868.93
| Professional | | $565,868.93 | $565,868.93 | $565,868.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $565,868.94 / $809,192.60 / $1,052,516.24
| Facility | | $565,868.94 | $809,192.60 | $1,052,516.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $565,868.93 / $565,868.93 / $613,914.42
| Professional | | $565,868.93 | $565,868.93 | $613,914.42 |
- 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 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $551,318.30 / $551,318.30 / $763,923.10
| Professional | | $551,318.30 | $551,318.30 | $763,923.10 |