- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $177.72 / $212.83 / $276.00
| Professional | | $177.72 | $212.83 | $276.00 |
- 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 / $35.36 / $35.36
| Professional | | $35.36 | $35.36 | $35.36 |
- 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 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,960.00 / $1,960.00 / $1,960.00
| Professional | | $1,960.00 | $1,960.00 | $1,960.00 |