- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $565,868.94 / $594,162.39 / $1,222,270.00
| Facility | | $565,868.94 | $594,162.39 | $1,222,270.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $565,868.94 / $594,162.39 / $594,162.39
| Professional | | $565,868.94 | $594,162.39 | $594,162.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $0.03 / $0.04
| Facility | | $0.02 | $0.03 | $0.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $565,868.94 / $565,868.94 / $565,868.94
| Professional | | $565,868.94 | $565,868.94 | $565,868.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $694,477.50 / $790,267.50 / $1,192,585.50
| Professional | | $694,477.50 | $790,267.50 | $1,192,585.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $480,988.60 / $666,372.50 / $679,042.73
| Professional | | $480,988.60 | $666,372.50 | $679,042.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $904,909.32 / $904,909.32 / $904,909.32
| Facility | | $904,909.32 | $904,909.32 | $904,909.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $553,169.30 / $912,729.35 / $1,465,898.65
| Facility | | $553,169.30 | $912,729.35 | $1,465,898.65 |