- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $261.80 / $261.80 / $3,300.77
| Professional | | $261.80 | $261.80 | $3,300.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $360.79 / $360.79 / $360.79
| Facility | | $360.79 | $360.79 | $360.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.00 / $60.00 / $100.00
| Professional | | $35.00 | $60.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194.76 / $261.80 / $360.79
| Facility | | $194.76 | $261.80 | $360.79 |
- 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 |