- Facility/Professional
- Facility
- Modifier
- QK
- Typical Low / Median / Typical High
- $338.84 / $338.84 / $426.58
| Facility | QK | $338.84 | $338.84 | $426.58 |
- Facility/Professional
- Facility
- Modifier
- QX
- Typical Low / Median / Typical High
- $275.42 / $275.42 / $660.69
| Facility | QX | $275.42 | $275.42 | $660.69 |
- Facility/Professional
- Professional
- Modifier
- AA
- Typical Low / Median / Typical High
- $323.59 / $851.14 / $1,380.38
| Professional | AA | $323.59 | $851.14 | $1,380.38 |
- Facility/Professional
- Professional
- Modifier
- QK
- Typical Low / Median / Typical High
- $263.03 / $478.63 / $707.95
| Professional | QK | $263.03 | $478.63 | $707.95 |
- Facility/Professional
- Professional
- Modifier
- QX
- Typical Low / Median / Typical High
- $239.88 / $467.74 / $912.01
| Professional | QX | $239.88 | $467.74 | $912.01 |
- Facility/Professional
- Professional
- Modifier
- QY
- Typical Low / Median / Typical High
- $338.84 / $446.68 / $660.69
| Professional | QY | $338.84 | $446.68 | $660.69 |
- Facility/Professional
- Professional
- Modifier
- QZ
- Typical Low / Median / Typical High
- $338.84 / $575.44 / $891.25
| Professional | QZ | $338.84 | $575.44 | $891.25 |
- Facility/Professional
- Professional
- Modifier
- AA
- Typical Low / Median / Typical High
- $141.25 / $162.18 / $776.25
| Professional | AA | $141.25 | $162.18 | $776.25 |
- Facility/Professional
- Professional
- Modifier
- QK
- Typical Low / Median / Typical High
- $70.79 / $81.28 / $323.59
| Professional | QK | $70.79 | $81.28 | $323.59 |
- Facility/Professional
- Professional
- Modifier
- QX
- Typical Low / Median / Typical High
- $69.18 / $85.11 / $323.59
| Professional | QX | $69.18 | $85.11 | $323.59 |
- Facility/Professional
- Professional
- Modifier
- QY
- Typical Low / Median / Typical High
- $85.11 / $85.11 / $91.20
| Professional | QY | $85.11 | $85.11 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- QZ
- Typical Low / Median / Typical High
- $138.04 / $162.18 / $524.81
| Professional | QZ | $138.04 | $162.18 | $524.81 |
- Facility/Professional
- Professional
- Modifier
- AA
- Typical Low / Median / Typical High
- $169.82 / $302.00 / $407.38
| Professional | AA | $169.82 | $302.00 | $407.38 |
- Facility/Professional
- Professional
- Modifier
- QX
- Typical Low / Median / Typical High
- $50.12 / $104.71 / $190.55
| Professional | QX | $50.12 | $104.71 | $190.55 |
- Facility/Professional
- Professional
- Modifier
- QZ
- Typical Low / Median / Typical High
- $120.23 / $213.80 / $323.59
| Professional | QZ | $120.23 | $213.80 | $323.59 |
- Facility/Professional
- Professional
- Modifier
- AA
- Typical Low / Median / Typical High
- $54.95 / $54.95 / $89.13
| Professional | AA | $54.95 | $54.95 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- QK
- Typical Low / Median / Typical High
- $79.43 / $79.43 / $79.43
| Professional | QK | $79.43 | $79.43 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- QZ
- Typical Low / Median / Typical High
- $75.86 / $75.86 / $75.86
| Professional | QZ | $75.86 | $75.86 | $75.86 |