- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $369.68 / $369.68 / $8,802.04
| Professional | | $369.68 | $369.68 | $8,802.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,408.05 / $1,408.05 / $1,408.05
| Facility | | $1,408.05 | $1,408.05 | $1,408.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.00 / $60.00 / $500.00
| Professional | | $45.00 | $60.00 | $500.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $369.68 / $369.68 / $1,408.05
| Facility | | $369.68 | $369.68 | $1,408.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,800,000.00 / $2,250,000.00 / $2,400,000.00
| Professional | | $1,800,000.00 | $2,250,000.00 | $2,400,000.00 |