- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $4,570.88 / $8,912.51 / $41,686.94
| Facility | | $4,570.88 | $8,912.51 | $41,686.94 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,258.93 / $1,905.46 / $4,365.16
| Professional | | $1,258.93 | $1,905.46 | $4,365.16 |
- Facility/Professional
- Professional
- Modifier
- AS
- Typical Low / Median / Typical High
- $186.21 / $371.54 / $724.44
| Professional | AS | $186.21 | $371.54 | $724.44 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $10,715.19 / $13,182.57 / $64,565.42
| Facility | | $10,715.19 | $13,182.57 | $64,565.42 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,445.44 / $2,884.03 / $4,265.80
| Professional | | $1,445.44 | $2,884.03 | $4,265.80 |
- Facility/Professional
- Professional
- Modifier
- AS
- Typical Low / Median / Typical High
- $204.17 / $407.38 / $588.84
| Professional | AS | $204.17 | $407.38 | $588.84 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $851.14 / $851.14 / $38,018.94
| Facility | | $851.14 | $851.14 | $38,018.94 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,548.82 / $2,511.89 / $3,981.07
| Professional | | $1,548.82 | $2,511.89 | $3,981.07 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $15,488.17 / $16,595.87 / $25,703.96
| Facility | | $15,488.17 | $16,595.87 | $25,703.96 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,548.82 / $2,290.87 / $6,918.31
| Professional | | $1,548.82 | $2,290.87 | $6,918.31 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $9,332.54 / $21,877.62 / $28,840.32
| Facility | | $9,332.54 | $21,877.62 | $28,840.32 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $323.59 / $2,754.23 / $3,467.37
| Professional | | $323.59 | $2,754.23 | $3,467.37 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $9,332.54 / $14,454.40 / $31,622.78
| Facility | | $9,332.54 | $14,454.40 | $31,622.78 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,288.25 / $2,691.53 / $7,585.78
| Professional | | $1,288.25 | $2,691.53 | $7,585.78 |