- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $391.17 / $537.86 / $1,407.52
| Facility | | $391.17 | $537.86 | $1,407.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $126.84 / $152.60 / $349.26
| Professional | | $126.84 | $152.60 | $349.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.15 / $33.15 / $33.15
| Professional | | $33.15 | $33.15 | $33.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $172.28 / $349.26 / $499.44
| Facility | | $172.28 | $349.26 | $499.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.68 / $349.26 / $499.44
| Facility | | $150.68 | $349.26 | $499.44 |
- 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 |