- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $2,884.03 / $5,495.41 / $7,762.47
| Facility | | $2,884.03 | $5,495.41 | $7,762.47 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $489.78 / $2,630.27 / $6,165.95
| Professional | | $489.78 | $2,630.27 | $6,165.95 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $8,709.64 / $17,782.79 / $33,113.11
| Facility | | $8,709.64 | $17,782.79 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- 50
- Typical Low / Median / Typical High
- $13,182.57 / $25,118.86 / $50,118.72
| Facility | 50 | $13,182.57 | $25,118.86 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $776.25 / $4,073.80 / $5,011.87
| Professional | | $776.25 | $4,073.80 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $588.84 / $891.25 / $5,495.41
| Professional | | $588.84 | $891.25 | $5,495.41 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $575.44 / $3,467.37 / $8,511.38
| Facility | | $575.44 | $3,467.37 | $8,511.38 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $645.65 / $2,884.03 / $5,248.07
| Professional | | $645.65 | $2,884.03 | $5,248.07 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $32.36 / $32.36 / $33.11
| Professional | | $32.36 | $32.36 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $19,952.62 / $25,118.86 / $37,153.52
| Facility | | $19,952.62 | $25,118.86 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- 50
- Typical Low / Median / Typical High
- $29,512.09 / $41,686.94 / $54,954.09
| Facility | 50 | $29,512.09 | $41,686.94 | $54,954.09 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $758.58 / $912.01 / $5,623.41
| Professional | | $758.58 | $912.01 | $5,623.41 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $812.83 / $2,398.83 / $26,302.68
| Professional | | $812.83 | $2,398.83 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $12,022.64 / $39,810.72 / $67,608.30
| Facility | | $12,022.64 | $39,810.72 | $67,608.30 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $501.19 / $2,754.23 / $5,495.41
| Professional | | $501.19 | $2,754.23 | $5,495.41 |