- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $818.94 / $1,880.09 / $3,480.46
| Facility | | $818.94 | $1,880.09 | $3,480.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $997.10 / $1,145.06 / $1,409.05
| Professional | | $997.10 | $1,145.06 | $1,409.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $520.86 / $520.86 / $520.86
| Professional | | $520.86 | $520.86 | $520.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,145.06 / $1,145.06 / $1,803.47
| Facility | | $1,145.06 | $1,145.06 | $1,803.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $762.88 / $1,938.00 / $79,999.20
| Facility | | $762.88 | $1,938.00 | $79,999.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,145.06 / $1,145.06 / $1,644,446.92
| Facility | | $1,145.06 | $1,145.06 | $1,644,446.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $520.86 / $2,250,000.00 / $2,400,000.00
| Professional | | $520.86 | $2,250,000.00 | $2,400,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,918.96 / $2,651.89 / $3,171.06
| Facility | | $1,918.96 | $2,651.89 | $3,171.06 |