- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $2,691.53 / $11,481.54 / $32,359.37
| Facility | | $2,691.53 | $11,481.54 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- 22
- Typical Low / Median / Typical High
- $4,168.69 / $18,197.01 / $34,673.69
| Facility | 22 | $4,168.69 | $18,197.01 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- 50
- Typical Low / Median / Typical High
- $6,456.54 / $20,417.38 / $51,286.14
| Facility | 50 | $6,456.54 | $20,417.38 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- AS
- Typical Low / Median / Typical High
- $269.15 / $13,489.63 / $20,892.96
| Facility | AS | $269.15 | $13,489.63 | $20,892.96 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $660.69 / $1,819.70 / $5,623.41
| Professional | | $660.69 | $1,819.70 | $5,623.41 |
- Facility/Professional
- Professional
- Modifier
- AS
- Typical Low / Median / Typical High
- $162.18 / $331.13 / $912.01
| Professional | AS | $162.18 | $331.13 | $912.01 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $4,897.79 / $13,182.57 / $36,307.81
| Facility | | $4,897.79 | $13,182.57 | $36,307.81 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,258.93 / $1,905.46 / $3,388.44
| Professional | | $1,258.93 | $1,905.46 | $3,388.44 |
- Facility/Professional
- Professional
- Modifier
- AS
- Typical Low / Median / Typical High
- $173.78 / $257.04 / $467.74
| Professional | AS | $173.78 | $257.04 | $467.74 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $2,187.76 / $9,120.11 / $43,651.58
| Facility | | $2,187.76 | $9,120.11 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- 22
- Typical Low / Median / Typical High
- $2,630.27 / $2,630.27 / $2,630.27
| Facility | 22 | $2,630.27 | $2,630.27 | $2,630.27 |
- Facility/Professional
- Facility
- Modifier
- 54
- Typical Low / Median / Typical High
- $1,513.56 / $1,513.56 / $1,513.56
| Facility | 54 | $1,513.56 | $1,513.56 | $1,513.56 |
- Facility/Professional
- Facility
- Modifier
- 62
- Typical Low / Median / Typical High
- $1,380.38 / $1,380.38 / $1,380.38
| Facility | 62 | $1,380.38 | $1,380.38 | $1,380.38 |
- Facility/Professional
- Facility
- Modifier
- AS
- Typical Low / Median / Typical High
- $218.78 / $218.78 / $218.78
| Facility | AS | $218.78 | $218.78 | $218.78 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,258.93 / $1,995.26 / $4,073.80
| Professional | | $1,258.93 | $1,995.26 | $4,073.80 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $3,715.35 / $12,022.64 / $32,359.37
| Facility | | $3,715.35 | $12,022.64 | $32,359.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,122.02 / $1,698.24 / $4,168.69
| Professional | | $1,122.02 | $1,698.24 | $4,168.69 |
- Facility/Professional
- Professional
- Modifier
- AS
- Typical Low / Median / Typical High
- $85.11 / $660.69 / $660.69
| Professional | AS | $85.11 | $660.69 | $660.69 |