- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $10.74 / $21.13
| Professional | | $6.43 | $10.74 | $21.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.88 / $17.88 / $18.23
| Facility | | $17.88 | $17.88 | $18.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.35 / $9.35 / $17.88
| Professional | | $9.35 | $9.35 | $17.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.07 / $8.67 / $18.23
| Facility | | $7.07 | $8.67 | $18.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.35 / $16.50 / $2,250,000.00
| Professional | | $9.35 | $16.50 | $2,250,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.80 / $7.36 / $7.73
| Professional | | $5.80 | $7.36 | $7.73 |