- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $549.54 / $8,709.64 / $38,018.94
| Facility | | $549.54 | $8,709.64 | $38,018.94 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $309.03 / $1,584.89 / $8,128.31
| Professional | | $309.03 | $1,584.89 | $8,128.31 |
- 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
- $23,442.29 / $29,512.09 / $60,255.96
| Facility | | $23,442.29 | $29,512.09 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- 50
- Typical Low / Median / Typical High
- $35,481.34 / $43,651.58 / $89,125.09
| Facility | 50 | $35,481.34 | $43,651.58 | $89,125.09 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $416.87 / $912.01 / $7,943.28
| Professional | | $416.87 | $912.01 | $7,943.28 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $16,982.44 / $16,982.44 / $16,982.44
| Facility | | $16,982.44 | $16,982.44 | $16,982.44 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $416.87 / $933.25 / $10,000.00
| Professional | | $416.87 | $933.25 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $524.81 / $7,413.10 / $46,773.51
| Facility | | $524.81 | $7,413.10 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- 50
- Typical Low / Median / Typical High
- $46,773.51 / $48,977.88 / $83,176.38
| Facility | 50 | $46,773.51 | $48,977.88 | $83,176.38 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $524.81 / $5,011.87 / $10,964.78
| Professional | | $524.81 | $5,011.87 | $10,964.78 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $32.36 / $33.11 / $186.21
| Professional | | $32.36 | $33.11 | $186.21 |
- 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
- $4,677.35 / $4,897.79 / $4,897.79
| Facility | | $4,677.35 | $4,897.79 | $4,897.79 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $407.38 / $4,677.35 / $8,317.64
| Professional | | $407.38 | $4,677.35 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $21,877.62 / $30,199.52 / $60,255.96
| Facility | | $21,877.62 | $30,199.52 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- 50
- Typical Low / Median / Typical High
- $33,113.11 / $45,708.82 / $89,125.09
| Facility | 50 | $33,113.11 | $45,708.82 | $89,125.09 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $501.19 / $912.01 / $7,943.28
| Professional | | $501.19 | $912.01 | $7,943.28 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $10,964.78 / $36,307.81 / $66,069.34
| Facility | | $10,964.78 | $36,307.81 | $66,069.34 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $436.52 / $3,311.31 / $7,943.28
| Professional | | $436.52 | $3,311.31 | $7,943.28 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $302.00 / $537.03 / $7,585.78
| Professional | | $302.00 | $537.03 | $7,585.78 |