- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,545.58 / $1,545.58 / $1,545.58
| Professional | | $1,545.58 | $1,545.58 | $1,545.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $660.66 / $660.66 / $660.66
| Professional | | $660.66 | $660.66 | $660.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,495.87 / $3,495.87 / $3,495.87
| Facility | | $3,495.87 | $3,495.87 | $3,495.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,495.87 / $3,495.87 / $3,495.87
| Facility | | $3,495.87 | $3,495.87 | $3,495.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $660.66 / $660.66 / $2,250,000.00
| Professional | | $660.66 | $660.66 | $2,250,000.00 |