- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1,318.26 / $12,302.69 / $39,810.72
| Facility | | $1,318.26 | $12,302.69 | $39,810.72 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $707.95 / $3,548.13 / $15,488.17
| Professional | | $707.95 | $3,548.13 | $15,488.17 |
- 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
- Professional
- Modifier
- Typical Low / Median / Typical High
- $891.25 / $1,949.84 / $15,488.17
| Professional | | $891.25 | $1,949.84 | $15,488.17 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $891.25 / $1,995.26 / $19,054.61
| Professional | | $891.25 | $1,995.26 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1,148.15 / $10,232.93 / $46,773.51
| Facility | | $1,148.15 | $10,232.93 | $46,773.51 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,174.90 / $8,128.31 / $16,982.44
| Professional | | $1,174.90 | $8,128.31 | $16,982.44 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $32.36 / $33.11 / $75.86
| Professional | | $32.36 | $33.11 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $7,413.10 / $12,302.69 / $13,489.63
| Facility | | $7,413.10 | $12,302.69 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $8,709.64 / $9,332.54 / $9,332.54
| Facility | | $8,709.64 | $9,332.54 | $9,332.54 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $870.96 / $8,709.64 / $15,848.93
| Professional | | $870.96 | $8,709.64 | $15,848.93 |
- 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
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,071.52 / $1,949.84 / $14,791.08
| Professional | | $1,071.52 | $1,949.84 | $14,791.08 |
- 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
- $933.25 / $6,165.95 / $14,791.08
| Professional | | $933.25 | $6,165.95 | $14,791.08 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $645.65 / $1,122.02 / $14,125.38
| Professional | | $645.65 | $1,122.02 | $14,125.38 |