- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,747.00 / $7,920.26 / $20,400.00
| Facility | | $2,747.00 | $7,920.26 | $20,400.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20,400.00 / $20,400.00 / $20,400.00
| Professional | | $20,400.00 | $20,400.00 | $20,400.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,921.23 / $44,451.00 / $79,999.20
| Facility | | $16,921.23 | $44,451.00 | $79,999.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,400,000.00 / $2,400,000.00 / $2,400,000.00
| Facility | | $2,400,000.00 | $2,400,000.00 | $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
- $30,324.06 / $51,659.73 / $70,516.50
| Facility | | $30,324.06 | $51,659.73 | $70,516.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,252.00 / $37,152.00 / $65,339.00
| Facility | | $4,252.00 | $37,152.00 | $65,339.00 |