- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.12 / $30.90 / $38.02
| Professional | | $25.12 | $30.90 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $1,000,000.00
| Facility | | $151,356.12 | $151,356.12 | $1,000,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $52.48 / $70.79
| Professional | | $52.48 | $52.48 | $70.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.74 / $40.74 / $43.65
| Facility | | $40.74 | $40.74 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.67 / $40.74 / $48.98
| Professional | | $34.67 | $40.74 | $48.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.16 / $26.30 / $46.77
| Facility | | $3.16 | $26.30 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $31.62 / $45.71
| Professional | | $20.42 | $31.62 | $45.71 |