PowerBI If Then & Conditional Format

https://app.powerbi.com/groups/ac952f19-b761-4130-a846-a24d4b001979/list?experience=power-bi

I have uploaded  a test pbi file on microsoft fabric. Please let me know if you can see it. No other way to share a file since I am not a pro user yet. 

Please not that 2024 data )can be viewed in semantic models) does not have average. Hence, I created a new measure in the same data set. The 2021 on the other hand has only averages. If you see the final output, there are 2 hospitals with less average in 2024 than in 2021. I would like them both to be highlighted red or atleast add a new column that saw low for low numbers in 2024 or if there is a way to show red down arrow and green up arrow, that would be great too. 

I am sure this is a simple solution for you but It took 3 days already and I am not even close to a solution.