- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.91 / $13.12 / $18.45
| Professional | | $9.91 | $13.12 | $18.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.87 / $27.87 / $27.87
| Facility | | $27.87 | $27.87 | $27.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.57 / $14.57 / $27.87
| Professional | | $14.57 | $14.57 | $27.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.03 / $23.48 / $32.26
| Facility | | $11.03 | $23.48 | $32.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.57 / $27.87 / $2,400,000.00
| Professional | | $14.57 | $27.87 | $2,400,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.40 / $11.48 / $18.98
| Professional | | $10.40 | $11.48 | $18.98 |