- 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
- $31,622.78 / $37,153.52 / $58,884.37
| Facility | | $31,622.78 | $37,153.52 | $58,884.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,380.38 / $2,454.71 / $41,686.94
| Professional | | $1,380.38 | $2,454.71 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1,000.00 / $8,128.31 / $16,595.87
| Facility | | $1,000.00 | $8,128.31 | $16,595.87 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,659.59 / $2,511.89 / $33,113.11
| Professional | | $1,659.59 | $2,511.89 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1,000.00 / $16,595.87 / $27,542.29
| Facility | | $1,000.00 | $16,595.87 | $27,542.29 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $16,595.87 / $28,183.83 / $63,095.73
| Professional | | $16,595.87 | $28,183.83 | $63,095.73 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $32.36 / $50.12 / $19,054.61
| Professional | | $32.36 | $50.12 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1,513.56 / $17,378.01 / $43,651.58
| Facility | | $1,513.56 | $17,378.01 | $43,651.58 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $2,137.96 / $16,218.10 / $48,977.88
| Professional | | $2,137.96 | $16,218.10 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $46,773.51 / $46,773.51 / $69,183.10
| Facility | | $46,773.51 | $46,773.51 | $69,183.10 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $69,183.10 / $79,432.82 / $79,432.82
| Professional | | $69,183.10 | $79,432.82 | $79,432.82 |
- 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
- $478.63 / $2,630.27 / $50,118.72
| Professional | | $478.63 | $2,630.27 | $50,118.72 |