- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $244.67 / $323.83 / $455.32
| Professional | | $244.67 | $323.83 | $455.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $687.75 / $687.75 / $687.75
| Facility | | $687.75 | $687.75 | $687.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $359.63 / $359.63 / $687.75
| Professional | | $359.63 | $359.63 | $687.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $272.26 / $579.38 / $803.28
| Facility | | $272.26 | $579.38 | $803.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $359.63 / $687.75 / $2,400,000.00
| Professional | | $359.63 | $687.75 | $2,400,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $258.19 / $283.23 / $283.23
| Professional | | $258.19 | $283.23 | $283.23 |