- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $88.38 / $130.57 / $150.72
| Professional | | $88.38 | $130.57 | $150.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $172.93 / $208.22 / $340.67
| Facility | | $172.93 | $208.22 | $340.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $124.67 / $208.22 / $293.89
| Professional | | $124.67 | $208.22 | $293.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.86 / $175.25 / $270.08
| Facility | | $55.86 | $175.25 | $270.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.94 / $208.22 / $2,400,000.00
| Professional | | $48.94 | $208.22 | $2,400,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $145.74 / $154.11 / $266.48
| Professional | | $145.74 | $154.11 | $266.48 |