- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,560.41 / $1,560.41 / $1,560.41
| Facility | | $1,560.41 | $1,560.41 | $1,560.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,560.41 / $1,560.41 / $1,560.41
| Professional | | $1,560.41 | $1,560.41 | $1,560.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $553.62 / $553.62 / $1,479.89
| Facility | | $553.62 | $553.62 | $1,479.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,560.41 / $1,560.41 / $1,560.41
| Facility | | $1,560.41 | $1,560.41 | $1,560.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $525.63 / $1,335.00 / $79,999.20
| Facility | | $525.63 | $1,335.00 | $79,999.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $553.62 / $1,644,310.16 / $2,400,000.00
| Facility | | $553.62 | $1,644,310.16 | $2,400,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,250,000.00 / $2,250,000.00 / $2,400,000.00
| Professional | | $2,250,000.00 | $2,250,000.00 | $2,400,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,357.38 / $1,801.21 / $2,184.89
| Facility | | $1,357.38 | $1,801.21 | $2,184.89 |