- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $4,466.84 / $10,232.93 / $25,703.96
| Facility | | $4,466.84 | $10,232.93 | $25,703.96 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $478.63 / $2,754.23 / $10,232.93
| Professional | | $478.63 | $2,754.23 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $4,570.88 / $8,128.31 / $15,848.93
| Facility | | $4,570.88 | $8,128.31 | $15,848.93 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $758.58 / $10,471.29 / $22,387.21
| Professional | | $758.58 | $10,471.29 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $85.11 / $15,488.17 / $32,359.37
| Facility | | $85.11 | $15,488.17 | $32,359.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $512.86 / $5,128.61 / $16,595.87
| Professional | | $512.86 | $5,128.61 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $14,791.08 / $14,791.08 / $17,782.79
| Facility | | $14,791.08 | $14,791.08 | $17,782.79 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $537.03 / $1,698.24 / $12,882.50
| Professional | | $537.03 | $1,698.24 | $12,882.50 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $467.74 / $6,309.57 / $10,715.19
| Professional | | $467.74 | $6,309.57 | $10,715.19 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $436.52 / $5,128.61 / $11,481.54
| Professional | | $436.52 | $5,128.61 | $11,481.54 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $54.95 / $56.23 / $69,183.10
| Facility | | $54.95 | $56.23 | $69,183.10 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $37,153.52 / $42,657.95 / $42,657.95
| Professional | | $37,153.52 | $42,657.95 | $42,657.95 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $4,265.80 / $4,265.80 / $7,079.46
| Professional | | $4,265.80 | $4,265.80 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $537.03 / $6,025.60 / $11,481.54
| Facility | | $537.03 | $6,025.60 | $11,481.54 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $524.81 / $1,548.82 / $13,182.57
| Professional | | $524.81 | $1,548.82 | $13,182.57 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,659.59 / $1,659.59 / $21,877.62
| Professional | | $1,659.59 | $1,659.59 | $21,877.62 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $426.58 / $6,760.83 / $10,715.19
| Professional | | $426.58 | $6,760.83 | $10,715.19 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $12,022.64 / $22,387.21 / $50,118.72
| Facility | | $12,022.64 | $22,387.21 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $489.78 / $5,128.61 / $13,803.84
| Professional | | $489.78 | $5,128.61 | $13,803.84 |