- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.67 / $19.79 / $37.81
| Professional | | $11.67 | $19.79 | $37.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.10 / $57.47 / $209.38
| Facility | | $55.10 | $57.47 | $209.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.06 / $17.52 / $88.91
| Professional | | $15.06 | $17.52 | $88.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.16 / $27.84 / $58.50
| Facility | | $14.16 | $27.84 | $58.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.73 / $46.10 / $2,400,000.00
| Professional | | $30.73 | $46.10 | $2,400,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.21 / $14.25 / $14.25
| Professional | | $8.21 | $14.25 | $14.25 |