- 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
- $23,988.33 / $28,183.83 / $44,668.36
| Facility | | $23,988.33 | $28,183.83 | $44,668.36 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,380.38 / $2,290.87 / $31,622.78
| Professional | | $1,380.38 | $2,290.87 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $933.25 / $7,943.28 / $16,595.87
| Facility | | $933.25 | $7,943.28 | $16,595.87 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,548.82 / $2,344.23 / $25,118.86
| Professional | | $1,548.82 | $2,344.23 | $25,118.86 |
- Facility/Professional
- Professional
- Modifier
- 80
- Typical Low / Median / Typical High
- $245.47 / $371.54 / $3,981.07
| Professional | 80 | $245.47 | $371.54 | $3,981.07 |
- Facility/Professional
- Professional
- Modifier
- AS
- Typical Low / Median / Typical High
- $213.80 / $331.13 / $3,467.37
| Professional | AS | $213.80 | $331.13 | $3,467.37 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $933.25 / $12,589.25 / $22,387.21
| Facility | | $933.25 | $12,589.25 | $22,387.21 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $13,489.63 / $22,908.68 / $51,286.14
| Professional | | $13,489.63 | $22,908.68 | $51,286.14 |
- 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
- $1,412.54 / $12,882.50 / $27,542.29
| Facility | | $1,412.54 | $12,882.50 | $27,542.29 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,995.26 / $12,302.69 / $39,810.72
| Professional | | $1,995.26 | $12,302.69 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $45,708.82 / $45,708.82 / $67,608.30
| Facility | | $45,708.82 | $45,708.82 | $67,608.30 |
- 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
- $446.68 / $2,454.71 / $40,738.03
| Professional | | $446.68 | $2,454.71 | $40,738.03 |