- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,145.52 / $1,554.87 / $1,731.65
| Professional | | $1,145.52 | $1,554.87 | $1,731.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $360.10 / $466.11 / $680.18
| Facility | | $360.10 | $466.11 | $680.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $261.31 / $394.35 / $582.69
| Professional | | $261.31 | $394.35 | $582.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $345.27 / $487.50 / $1,468.21
| Facility | | $345.27 | $487.50 | $1,468.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.83 / $387.35 / $2,400,000.00
| Professional | | $78.83 | $387.35 | $2,400,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $291.39 / $1,690.80 / $2,969.35
| Professional | | $291.39 | $1,690.80 | $2,969.35 |