- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $11,748.98 / $34,673.69 / $57,543.99
| Facility | | $11,748.98 | $34,673.69 | $57,543.99 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $5,495.41 / $6,918.31 / $9,332.54
| Professional | | $5,495.41 | $6,918.31 | $9,332.54 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $21,379.62 / $42,657.95 / $43,651.58
| Facility | | $21,379.62 | $42,657.95 | $43,651.58 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,548.82 / $1,995.26 / $17,378.01
| Professional | | $1,548.82 | $1,995.26 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $97.72 / $13,489.63 / $23,442.29
| Facility | | $97.72 | $13,489.63 | $23,442.29 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $5,011.87 / $6,606.93 / $14,791.08
| Professional | | $5,011.87 | $6,606.93 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $6,456.54 / $14,125.38 / $28,183.83
| Facility | | $6,456.54 | $14,125.38 | $28,183.83 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $8,511.38 / $9,332.54 / $11,481.54
| Professional | | $8,511.38 | $9,332.54 | $11,481.54 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $7,585.78 / $9,332.54 / $14,791.08
| Professional | | $7,585.78 | $9,332.54 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $40,738.03 / $40,738.03 / $40,738.03
| Facility | | $40,738.03 | $40,738.03 | $40,738.03 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $42,657.95 / $63,095.73 / $63,095.73
| Professional | | $42,657.95 | $63,095.73 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $5,754.40 / $10,232.93 / $19,054.61
| Facility | | $5,754.40 | $10,232.93 | $19,054.61 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $8,511.38 / $9,332.54 / $12,882.50
| Professional | | $8,511.38 | $9,332.54 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $3,548.13 / $8,511.38 / $10,232.93
| Facility | | $3,548.13 | $8,511.38 | $10,232.93 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $3,548.13 / $3,548.13 / $16,982.44
| Professional | | $3,548.13 | $3,548.13 | $16,982.44 |