- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $548.86 / $548.86 / $548.86
| Professional | | $548.86 | $548.86 | $548.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $100.00 / $100.00
| Facility | | $100.00 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $548.86 / $548.86 / $740.96
| Facility | | $548.86 | $548.86 | $740.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $548.86 / $548.86 / $878.18
| Facility | | $548.86 | $548.86 | $878.18 |
- 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 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4,800.00 / $4,800.00 / $4,800.00
| Professional | | $4,800.00 | $4,800.00 | $4,800.00 |