- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $7,838.38 / $8,644.27
| Facility | | $1,000.00 | $7,838.38 | $8,644.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16,536.72 / $16,536.72 / $16,536.72
| Professional | | $16,536.72 | $16,536.72 | $16,536.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $85.00
| Professional | | $50.00 | $60.00 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,536.72 / $16,536.72 / $16,536.72
| Facility | | $16,536.72 | $16,536.72 | $16,536.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,400,000.00 / $2,400,000.00 / $2,400,000.00
| Professional | | $2,400,000.00 | $2,400,000.00 | $2,400,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,035.00 / $15,131.00 / $21,396.00
| Facility | | $1,035.00 | $15,131.00 | $21,396.00 |