- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.47 / $26.40 / $34.24
| Professional | | $20.47 | $26.40 | $34.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.00 / $40.00 / $40.00
| Professional | | $40.00 | $40.00 | $40.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.89 / $36.89 / $36.89
| Professional | | $36.89 | $36.89 | $36.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.35 / $36.10 / $58.82
| Facility | | $21.35 | $36.10 | $58.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.69 / $42.60 / $2,400,000.00
| Professional | | $27.69 | $42.60 | $2,400,000.00 |