- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.80 / $321.93 / $554.58
| Facility | | $58.80 | $321.93 | $554.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.82 / $48.99 / $5,000.00
| Professional | | $10.82 | $48.99 | $5,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.48 / $88.51 / $102.77
| Facility | | $57.48 | $88.51 | $102.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.36 / $2,995.49 / $3,744.36
| Professional | | $35.36 | $2,995.49 | $3,744.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.48 / $88.51 / $102.77
| Facility | | $57.48 | $88.51 | $102.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.36 / $2,400,000.00 / $2,550,000.00
| Professional | | $35.36 | $2,400,000.00 | $2,550,000.00 |