- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.47 / $70.56 / $135.71
| Professional | | $46.47 | $70.56 | $135.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $197.55 / $206.03 / $750.69
| Facility | | $197.55 | $206.03 | $750.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.00 / $85.80 / $318.75
| Professional | | $58.00 | $85.80 | $318.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.95 / $111.36 / $209.27
| Facility | | $77.95 | $111.36 | $209.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $110.31 / $165.49 / $2,400,000.00
| Professional | | $110.31 | $165.49 | $2,400,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.68 / $51.08 / $66.08
| Professional | | $32.68 | $51.08 | $66.08 |