- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $9,772.37 / $25,703.96 / $47,863.01
| Facility | | $9,772.37 | $25,703.96 | $47,863.01 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $4,677.35 / $6,165.95 / $47,863.01
| Professional | | $4,677.35 | $6,165.95 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $3,311.31 / $16,595.87 / $36,307.81
| Facility | | $3,311.31 | $16,595.87 | $36,307.81 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $2,884.03 / $4,265.80 / $13,803.84
| Professional | | $2,884.03 | $4,265.80 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $85.11 / $30,199.52 / $81,283.05
| Facility | | $85.11 | $30,199.52 | $81,283.05 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $4,168.69 / $5,754.40 / $14,791.08
| Professional | | $4,168.69 | $5,754.40 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $5,011.87 / $12,589.25 / $23,988.33
| Facility | | $5,011.87 | $12,589.25 | $23,988.33 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $3,801.89 / $5,011.87 / $16,982.44
| Professional | | $3,801.89 | $5,011.87 | $16,982.44 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $7,244.36 / $7,943.28 / $9,772.37
| Professional | | $7,244.36 | $7,943.28 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $6,456.54 / $7,943.28 / $12,589.25
| Professional | | $6,456.54 | $7,943.28 | $12,589.25 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $33,884.42 / $33,884.42 / $33,884.42
| Facility | | $33,884.42 | $33,884.42 | $33,884.42 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $35,481.34 / $53,703.18 / $53,703.18
| Professional | | $35,481.34 | $53,703.18 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $5,248.07 / $8,709.64 / $18,620.87
| Facility | | $5,248.07 | $8,709.64 | $18,620.87 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $3,801.89 / $7,585.78 / $15,135.61
| Professional | | $3,801.89 | $7,585.78 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $3,019.95 / $7,244.36 / $7,244.36
| Facility | | $3,019.95 | $7,244.36 | $7,244.36 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $3,019.95 / $3,019.95 / $15,135.61
| Professional | | $3,019.95 | $3,019.95 | $15,135.61 |