- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $12,882.50 / $17,378.01 / $30,199.52
| Facility | | $12,882.50 | $17,378.01 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $23,442.29 / $27,542.29 / $43,651.58
| Facility | | $23,442.29 | $27,542.29 | $43,651.58 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,348.96 / $1,995.26 / $30,199.52
| Professional | | $1,348.96 | $1,995.26 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $794.33 / $7,943.28 / $16,218.10
| Facility | | $794.33 | $7,943.28 | $16,218.10 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,318.26 / $1,995.26 / $24,547.09
| Professional | | $1,318.26 | $1,995.26 | $24,547.09 |
- Facility/Professional
- Professional
- Modifier
- 80
- Typical Low / Median / Typical High
- $208.93 / $323.59 / $3,890.45
| Professional | 80 | $208.93 | $323.59 | $3,890.45 |
- Facility/Professional
- Professional
- Modifier
- AS
- Typical Low / Median / Typical High
- $186.21 / $281.84 / $3,388.44
| Professional | AS | $186.21 | $281.84 | $3,388.44 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $794.33 / $12,589.25 / $22,387.21
| Facility | | $794.33 | $12,589.25 | $22,387.21 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $13,489.63 / $23,442.29 / $52,480.75
| Professional | | $13,489.63 | $23,442.29 | $52,480.75 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $32.36 / $50.12 / $14,791.08
| Professional | | $32.36 | $50.12 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1,230.27 / $12,882.50 / $27,542.29
| Facility | | $1,230.27 | $12,882.50 | $27,542.29 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,698.24 / $12,022.64 / $39,810.72
| Professional | | $1,698.24 | $12,022.64 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $47,863.01 / $47,863.01 / $70,794.58
| Facility | | $47,863.01 | $47,863.01 | $70,794.58 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $54,954.09 / $60,255.96 / $60,255.96
| Professional | | $54,954.09 | $60,255.96 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $17,378.01 / $18,197.01 / $22,908.68
| Facility | | $17,378.01 | $18,197.01 | $22,908.68 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $95.50 / $2,089.30 / $40,738.03
| Professional | | $95.50 | $2,089.30 | $40,738.03 |