| Level A – Brief appointment | Fee | Rebate | Gap |
|---|---|---|---|
| Brief Appointment | $65.00 | $19.60 | $46.15 |
| Level B – Standard appointment | Fee | Rebate | Gap |
| Standard appointment | $85.00 | $42.85 | $43.80 |
| Level C – Long appointment | Fee | Rebate | Gap |
| Long appointment | $125.00 | $82.90 | $45.30 |
| Level D – Prolonged appointment | Fee | Rebate | Gap |
| Prolonged appointment | $170.00 | $122.15 | $52.60 |