- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,563.00 / $1,563.00 / $1,563.00
| Professional | | $1,563.00 | $1,563.00 | $1,563.00 |
- 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
- $1,563.00 / $1,563.00 / $2,110.05
| Facility | | $1,563.00 | $1,563.00 | $2,110.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,563.00 / $1,563.00 / $2,500.80
| Facility | | $1,563.00 | $1,563.00 | $2,500.80 |
- 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 |