- 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
- $21,877.62 / $25,703.96 / $40,738.03
| Facility | | $21,877.62 | $25,703.96 | $40,738.03 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,023.29 / $1,698.24 / $28,840.32
| Professional | | $1,023.29 | $1,698.24 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $691.83 / $7,943.28 / $15,135.61
| Facility | | $691.83 | $7,943.28 | $15,135.61 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,148.15 / $1,737.80 / $22,387.21
| Professional | | $1,148.15 | $1,737.80 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $691.83 / $12,589.25 / $21,379.62
| Facility | | $691.83 | $12,589.25 | $21,379.62 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $11,220.18 / $19,952.62 / $48,977.88
| Professional | | $11,220.18 | $19,952.62 | $48,977.88 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $32.36 / $50.12 / $12,589.25
| Professional | | $32.36 | $50.12 | $12,589.25 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1,023.29 / $12,882.50 / $27,542.29
| Facility | | $1,023.29 | $12,882.50 | $27,542.29 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,479.11 / $11,220.18 / $34,673.69
| Professional | | $1,479.11 | $11,220.18 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $28,840.32 / $28,840.32 / $42,657.95
| Facility | | $28,840.32 | $28,840.32 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- AS
- Typical Low / Median / Typical High
- $2,884.03 / $2,884.03 / $4,265.80
| Facility | AS | $2,884.03 | $2,884.03 | $4,265.80 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $48,977.88 / $56,234.13 / $56,234.13
| Professional | | $48,977.88 | $56,234.13 | $56,234.13 |
- 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
- $331.13 / $4,073.80 / $36,307.81
| Professional | | $331.13 | $4,073.80 | $36,307.81 |