- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.24 / $241.71 / $241.71
| Professional | | $15.24 | $241.71 | $241.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.00 / $40.00 / $40.00
| Professional | | $40.00 | $40.00 | $40.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $638.07 / $638.07 / $801.00
| Professional | | $638.07 | $638.07 | $801.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90.00 / $100.00 / $100.00
| Facility | | $90.00 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.24 / $241.71 / $519.67
| Facility | | $15.24 | $241.71 | $519.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10,000.00 / $2,250,000.00 / $2,400,000.00
| Professional | | $10,000.00 | $2,250,000.00 | $2,400,000.00 |