- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $851.14 / $12,022.64 / $41,686.94
| Facility | | $851.14 | $12,022.64 | $41,686.94 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $478.63 / $1,445.44 / $14,791.08
| Professional | | $478.63 | $1,445.44 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $23,442.29 / $45,708.82 / $95,499.26
| Facility | | $23,442.29 | $45,708.82 | $95,499.26 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $630.96 / $1,412.54 / $16,595.87
| Professional | | $630.96 | $1,412.54 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $28,183.83 / $28,183.83
| Facility | | $28,183.83 | $28,183.83 | $28,183.83 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $630.96 / $1,445.44 / $20,892.96
| Professional | | $630.96 | $1,445.44 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $831.76 / $12,882.50 / $46,773.51
| Facility | | $831.76 | $12,882.50 | $46,773.51 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $831.76 / $8,912.51 / $21,379.62
| Professional | | $831.76 | $8,912.51 | $21,379.62 |
- 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
- $7,943.28 / $13,182.57 / $14,454.40
| Facility | | $7,943.28 | $13,182.57 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $9,549.93 / $10,000.00 / $10,000.00
| Facility | | $9,549.93 | $10,000.00 | $10,000.00 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $630.96 / $9,549.93 / $16,982.44
| Professional | | $630.96 | $9,549.93 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $25,703.96 / $45,708.82 / $95,499.26
| Facility | | $25,703.96 | $45,708.82 | $95,499.26 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $758.58 / $1,412.54 / $16,218.10
| Professional | | $758.58 | $1,412.54 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $13,489.63 / $57,543.99 / $104,712.85
| Facility | | $13,489.63 | $57,543.99 | $104,712.85 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $660.69 / $6,606.93 / $16,595.87
| Professional | | $660.69 | $6,606.93 | $16,595.87 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $467.74 / $812.83 / $15,488.17
| Professional | | $467.74 | $812.83 | $15,488.17 |