- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $13,803.84 / $18,197.01 / $30,902.95
| Facility | | $13,803.84 | $18,197.01 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $30,199.52 / $35,481.34 / $56,234.13
| Facility | | $30,199.52 | $35,481.34 | $56,234.13 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,412.54 / $2,398.83 / $39,810.72
| Professional | | $1,412.54 | $2,398.83 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $954.99 / $8,128.31 / $16,595.87
| Facility | | $954.99 | $8,128.31 | $16,595.87 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,584.89 / $2,398.83 / $30,902.95
| Professional | | $1,584.89 | $2,398.83 | $30,902.95 |
- Facility/Professional
- Professional
- Modifier
- 80
- Typical Low / Median / Typical High
- $251.19 / $389.05 / $5,011.87
| Professional | 80 | $251.19 | $389.05 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- AS
- Typical Low / Median / Typical High
- $218.78 / $338.84 / $4,365.16
| Professional | AS | $218.78 | $338.84 | $4,365.16 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $954.99 / $16,595.87 / $28,840.32
| Facility | | $954.99 | $16,595.87 | $28,840.32 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $17,378.01 / $30,902.95 / $70,794.58
| Professional | | $17,378.01 | $30,902.95 | $70,794.58 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $32.36 / $50.12 / $20,417.38
| Professional | | $32.36 | $50.12 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1,479.11 / $17,378.01 / $43,651.58
| Facility | | $1,479.11 | $17,378.01 | $43,651.58 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $2,041.74 / $15,488.17 / $51,286.14
| Professional | | $2,041.74 | $15,488.17 | $51,286.14 |
- 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
- $70,794.58 / $75,857.76 / $75,857.76
| Professional | | $70,794.58 | $75,857.76 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $20,892.96 / $21,877.62 / $38,018.94
| Facility | | $20,892.96 | $21,877.62 | $38,018.94 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $457.09 / $2,511.89 / $52,480.75
| Professional | | $457.09 | $2,511.89 | $52,480.75 |