- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.50 / $47.50 / $52.67
| Professional | | $47.50 | $47.50 | $52.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.52 / $29.52 / $29.52
| Professional | | $29.52 | $29.52 | $29.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.50 / $57.94 / $80.00
| Facility | | $47.50 | $57.94 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.52 / $1,800,000.00 / $2,400,000.00
| Professional | | $29.52 | $1,800,000.00 | $2,400,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.00 / $80.81 / $96.98
| Professional | | $70.00 | $80.81 | $96.98 |