- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.23 / $2.12 / $2.61
| Professional | | $1.23 | $2.12 | $2.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.53 / $3.53 / $3.53
| Professional | | $3.53 | $3.53 | $3.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $5.68 / $7.48
| Professional | | $4.84 | $5.68 | $7.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.13 / $3.63 / $6.48
| Facility | | $2.13 | $3.63 | $6.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $5.62 / $10.36
| Professional | | $5.62 | $5.62 | $10.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.40 / $5.36 / $11.90
| Facility | | $4.40 | $5.36 | $11.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.90 / $11.90 / $11.90
| Professional | | $11.90 | $11.90 | $11.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.27 / $3.65 / $6.80
| Facility | | $2.27 | $3.65 | $6.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.53 / $2,250,000.00 / $2,400,000.00
| Professional | | $3.53 | $2,250,000.00 | $2,400,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $5.94 / $7.40
| Professional | | $5.37 | $5.94 | $7.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.15 / $1.73 / $2.87
| Professional | | $1.15 | $1.73 | $2.87 |