- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $616.60 / $7,079.46 / $14,454.40
| Facility | | $616.60 | $7,079.46 | $14,454.40 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $512.86 / $1,778.28 / $10,232.93
| Professional | | $512.86 | $1,778.28 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $13,803.84 / $18,620.87 / $30,902.95
| Facility | | $13,803.84 | $18,620.87 | $30,902.95 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $851.14 / $6,456.54 / $24,547.09
| Professional | | $851.14 | $6,456.54 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $14,454.40 / $16,982.44 / $26,915.35
| Facility | | $14,454.40 | $16,982.44 | $26,915.35 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $977.24 / $1,737.80 / $19,498.45
| Professional | | $977.24 | $1,737.80 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $616.60 / $2,818.38 / $8,317.64
| Facility | | $616.60 | $2,818.38 | $8,317.64 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,174.90 / $1,698.24 / $15,135.61
| Professional | | $1,174.90 | $1,698.24 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $691.83 / $12,302.69 / $26,915.35
| Facility | | $691.83 | $12,302.69 | $26,915.35 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $7,413.10 / $13,182.57 / $32,359.37
| Professional | | $7,413.10 | $13,182.57 | $32,359.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $32.36 / $33.11 / $70.79
| Professional | | $32.36 | $33.11 | $70.79 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $15,848.93 / $17,378.01 / $43,651.58
| Facility | | $15,848.93 | $17,378.01 | $43,651.58 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,412.54 / $7,413.10 / $28,183.83
| Professional | | $1,412.54 | $7,413.10 | $28,183.83 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,023.29 / $6,606.93 / $20,417.38
| Professional | | $1,023.29 | $6,606.93 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $45,708.82 / $45,708.82 / $66,069.34
| Facility | | $45,708.82 | $45,708.82 | $66,069.34 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $912.01 / $10,964.78 / $37,153.52
| Professional | | $912.01 | $10,964.78 | $37,153.52 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $2,570.40 / $2,570.40 / $30,199.52
| Professional | | $2,570.40 | $2,570.40 | $30,199.52 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $2,691.53 / $28,183.83 / $37,153.52
| Professional | | $2,691.53 | $28,183.83 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $10,964.78 / $21,877.62 / $38,018.94
| Facility | | $10,964.78 | $21,877.62 | $38,018.94 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $676.08 / $5,623.41 / $25,118.86
| Professional | | $676.08 | $5,623.41 | $25,118.86 |