- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1,479.11 / $6,025.60 / $28,840.32
| Facility | | $1,479.11 | $6,025.60 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $12,882.50 / $18,197.01 / $29,512.09
| Facility | | $12,882.50 | $18,197.01 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1,949.84 / $2,137.96 / $2,818.38
| Facility | | $1,949.84 | $2,137.96 | $2,818.38 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $4,168.69 / $4,897.79 / $8,128.31
| Facility | | $4,168.69 | $4,897.79 | $8,128.31 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1,621.81 / $3,715.35 / $10,471.29
| Facility | | $1,621.81 | $3,715.35 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1,621.81 / $4,073.80 / $26,915.35
| Facility | | $1,621.81 | $4,073.80 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $3,311.31 / $10,715.19 / $17,378.01
| Facility | | $3,311.31 | $10,715.19 | $17,378.01 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $2,511.89 / $3,801.89 / $5,623.41
| Professional | | $2,511.89 | $3,801.89 | $5,623.41 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $18,620.87 / $34,673.69 / $51,286.14
| Facility | | $18,620.87 | $34,673.69 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- 62
- Typical Low / Median / Typical High
- $21,877.62 / $21,877.62 / $32,359.37
| Facility | 62 | $21,877.62 | $21,877.62 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- AS
- Typical Low / Median / Typical High
- $3,467.37 / $3,467.37 / $5,128.61
| Facility | AS | $3,467.37 | $3,467.37 | $5,128.61 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $5,248.07 / $5,248.07 / $5,248.07
| Professional | | $5,248.07 | $5,248.07 | $5,248.07 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $8,912.51 / $14,125.38 / $28,183.83
| Facility | | $8,912.51 | $14,125.38 | $28,183.83 |