- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $327.43 / $327.43 / $390.48
| Professional | | $327.43 | $327.43 | $390.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $310.31 / $310.31 / $310.31
| Professional | | $310.31 | $310.31 | $310.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $327.43 / $327.43 / $500.97
| Facility | | $327.43 | $327.43 | $500.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,377.69 / $2,377.69 / $2,377.69
| Professional | | $2,377.69 | $2,377.69 | $2,377.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $327.43 / $327.43 / $458.40
| Facility | | $327.43 | $327.43 | $458.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $310.31 / $310.31 / $2,400,000.00
| Professional | | $310.31 | $310.31 | $2,400,000.00 |