- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $398.11 / $7,762.47 / $17,378.01
| Facility | | $398.11 | $7,762.47 | $17,378.01 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $309.03 / $1,513.56 / $7,585.78
| Professional | | $309.03 | $1,513.56 | $7,585.78 |
- Facility/Professional
- Professional
- Modifier
- 50
- Typical Low / Median / Typical High
- $501.19 / $2,238.72 / $2,238.72
| Professional | 50 | $501.19 | $2,238.72 | $2,238.72 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $467.74 / $954.99 / $9,549.93
| Professional | | $467.74 | $954.99 | $9,549.93 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $501.19 / $758.58 / $8,317.64
| Professional | | $501.19 | $758.58 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $398.11 / $4,677.35 / $10,232.93
| Facility | | $398.11 | $4,677.35 | $10,232.93 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $446.68 / $3,548.13 / $9,332.54
| Professional | | $446.68 | $3,548.13 | $9,332.54 |
- Facility/Professional
- Professional
- Modifier
- 50
- Typical Low / Median / Typical High
- $501.19 / $501.19 / $2,238.72
| Professional | 50 | $501.19 | $501.19 | $2,238.72 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $3,801.89 / $6,456.54 / $7,762.47
| Facility | | $3,801.89 | $6,456.54 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $398.11 / $3,235.94 / $8,912.51
| Facility | | $398.11 | $3,235.94 | $8,912.51 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $79.43 / $812.83 / $9,332.54
| Professional | | $79.43 | $812.83 | $9,332.54 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $38,018.94 / $46,773.51
| Facility | | $28,183.83 | $38,018.94 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- 50
- Typical Low / Median / Typical High
- $41,686.94 / $57,543.99 / $69,183.10
| Facility | 50 | $41,686.94 | $57,543.99 | $69,183.10 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $602.56 / $1,023.29 / $10,000.00
| Professional | | $602.56 | $1,023.29 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $11,748.98 / $34,673.69 / $52,480.75
| Facility | | $11,748.98 | $34,673.69 | $52,480.75 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $478.63 / $2,630.27 / $8,912.51
| Professional | | $478.63 | $2,630.27 | $8,912.51 |