- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $2,511.89 / $10,232.93 / $30,199.52
| Facility | | $2,511.89 | $10,232.93 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- 22
- Typical Low / Median / Typical High
- $3,890.45 / $15,135.61 / $37,153.52
| Facility | 22 | $3,890.45 | $15,135.61 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- 50
- Typical Low / Median / Typical High
- $4,786.30 / $16,595.87 / $43,651.58
| Facility | 50 | $4,786.30 | $16,595.87 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- 80
- Typical Low / Median / Typical High
- $194.98 / $194.98 / $194.98
| Facility | 80 | $194.98 | $194.98 | $194.98 |
- Facility/Professional
- Facility
- Modifier
- AS
- Typical Low / Median / Typical High
- $602.56 / $9,332.54 / $17,782.79
| Facility | AS | $602.56 | $9,332.54 | $17,782.79 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $912.01 / $1,698.24 / $5,754.40
| Professional | | $912.01 | $1,698.24 | $5,754.40 |
- Facility/Professional
- Professional
- Modifier
- AS
- Typical Low / Median / Typical High
- $162.18 / $331.13 / $933.25
| Professional | AS | $162.18 | $331.13 | $933.25 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $5,754.40 / $17,378.01 / $41,686.94
| Facility | | $5,754.40 | $17,378.01 | $41,686.94 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,288.25 / $1,995.26 / $3,548.13
| Professional | | $1,288.25 | $1,995.26 | $3,548.13 |
- Facility/Professional
- Professional
- Modifier
- AS
- Typical Low / Median / Typical High
- $177.83 / $263.03 / $478.63
| Professional | AS | $177.83 | $263.03 | $478.63 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1,905.46 / $5,011.87 / $43,651.58
| Facility | | $1,905.46 | $5,011.87 | $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
- 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
- $1,288.25 / $2,041.74 / $4,168.69
| Professional | | $1,288.25 | $2,041.74 | $4,168.69 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $3,801.89 / $12,022.64 / $32,359.37
| Facility | | $3,801.89 | $12,022.64 | $32,359.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,148.15 / $1,778.28 / $4,466.84
| Professional | | $1,148.15 | $1,778.28 | $4,466.84 |
- Facility/Professional
- Professional
- Modifier
- AS
- Typical Low / Median / Typical High
- $288.40 / $407.38 / $489.78
| Professional | AS | $288.40 | $407.38 | $489.78 |