- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $208.93 / $1,905.46 / $7,585.78
| Facility | | $208.93 | $1,905.46 | $7,585.78 |
- Facility/Professional
- Facility
- Modifier
- 22
- Typical Low / Median / Typical High
- $2,290.87 / $2,290.87 / $2,290.87
| Facility | 22 | $2,290.87 | $2,290.87 | $2,290.87 |
- Facility/Professional
- Facility
- Modifier
- 52
- Typical Low / Median / Typical High
- $154.88 / $478.63 / $2,511.89
| Facility | 52 | $154.88 | $478.63 | $2,511.89 |
- Facility/Professional
- Facility
- Modifier
- 53
- Typical Low / Median / Typical High
- $2,137.96 / $3,019.95 / $3,019.95
| Facility | 53 | $2,137.96 | $3,019.95 | $3,019.95 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $77.62 / $234.42 / $645.65
| Professional | | $77.62 | $234.42 | $645.65 |
- Facility/Professional
- Professional
- Modifier
- 52
- Typical Low / Median / Typical High
- $45.71 / $147.91 / $363.08
| Professional | 52 | $45.71 | $147.91 | $363.08 |
- Facility/Professional
- Professional
- Modifier
- 53
- Typical Low / Median / Typical High
- $21.38 / $34.67 / $275.42
| Professional | 53 | $21.38 | $34.67 | $275.42 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1,445.44 / $4,365.16 / $11,748.98
| Facility | | $1,445.44 | $4,365.16 | $11,748.98 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $97.72 / $213.80 / $457.09
| Professional | | $97.72 | $213.80 | $457.09 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $134.90 / $724.44 / $1,819.70
| Facility | | $134.90 | $724.44 | $1,819.70 |
- Facility/Professional
- Facility
- Modifier
- 22
- Typical Low / Median / Typical High
- $162.18 / $162.18 / $162.18
| Facility | 22 | $162.18 | $162.18 | $162.18 |
- Facility/Professional
- Facility
- Modifier
- 52
- Typical Low / Median / Typical High
- $109.65 / $109.65 / $109.65
| Facility | 52 | $109.65 | $109.65 | $109.65 |
- Facility/Professional
- Facility
- Modifier
- 53
- Typical Low / Median / Typical High
- $27.54 / $27.54 / $27.54
| Facility | 53 | $27.54 | $27.54 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $102.33 / $234.42 / $537.03
| Professional | | $102.33 | $234.42 | $537.03 |
- Facility/Professional
- Professional
- Modifier
- 53
- Typical Low / Median / Typical High
- $134.90 / $144.54 / $549.54
| Professional | 53 | $134.90 | $144.54 | $549.54 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $562.34 / $1,778.28 / $4,365.16
| Facility | | $562.34 | $1,778.28 | $4,365.16 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $85.11 / $199.53 / $416.87
| Professional | | $85.11 | $199.53 | $416.87 |