- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $933.25 / $10,232.93 / $22,908.68
| Facility | | $933.25 | $10,232.93 | $22,908.68 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $512.86 / $2,570.40 / $10,232.93
| Professional | | $512.86 | $2,570.40 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $37,153.52 / $46,773.51 / $95,499.26
| Facility | | $37,153.52 | $46,773.51 | $95,499.26 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $758.58 / $1,513.56 / $14,125.38
| Professional | | $758.58 | $1,513.56 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $28,183.83 / $28,183.83
| Facility | | $28,183.83 | $28,183.83 | $28,183.83 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $676.08 / $1,548.82 / $16,218.10
| Professional | | $676.08 | $1,548.82 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $851.14 / $11,748.98 / $74,131.02
| Facility | | $851.14 | $11,748.98 | $74,131.02 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $912.01 / $8,317.64 / $18,197.01
| Professional | | $912.01 | $8,317.64 | $18,197.01 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $32.36 / $32.36 / $33.11
| Professional | | $32.36 | $32.36 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $7,244.36 / $10,000.00 / $12,882.50
| Facility | | $7,244.36 | $10,000.00 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $7,244.36 / $7,762.47 / $7,762.47
| Facility | | $7,244.36 | $7,762.47 | $7,762.47 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $676.08 / $7,244.36 / $12,882.50
| Professional | | $676.08 | $7,244.36 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $35,481.34 / $48,977.88 / $95,499.26
| Facility | | $35,481.34 | $48,977.88 | $95,499.26 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $758.58 / $1,513.56 / $12,302.69
| Professional | | $758.58 | $1,513.56 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $19,054.61 / $57,543.99 / $104,712.85
| Facility | | $19,054.61 | $57,543.99 | $104,712.85 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $691.83 / $5,888.44 / $13,182.57
| Professional | | $691.83 | $5,888.44 | $13,182.57 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $501.19 / $891.25 / $13,489.63
| Professional | | $501.19 | $891.25 | $13,489.63 |