- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $8,709.64 / $16,218.10 / $19,952.62
| Facility | | $8,709.64 | $16,218.10 | $19,952.62 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $5,011.87 / $6,165.95 / $9,120.11
| Professional | | $5,011.87 | $6,165.95 | $9,120.11 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $15,488.17 / $19,498.45 / $19,952.62
| Facility | | $15,488.17 | $19,498.45 | $19,952.62 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $2,884.03 / $2,884.03 / $28,840.32
| Professional | | $2,884.03 | $2,884.03 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $19,952.62 / $22,908.68 / $37,153.52
| Facility | | $19,952.62 | $22,908.68 | $37,153.52 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $5,128.61 / $10,715.19 / $22,387.21
| Professional | | $5,128.61 | $10,715.19 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $7,943.28 / $30,199.52 / $45,708.82
| Facility | | $7,943.28 | $30,199.52 | $45,708.82 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $42,657.95 / $42,657.95 / $47,863.01
| Professional | | $42,657.95 | $42,657.95 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $6,456.54 / $8,709.64 / $25,118.86
| Facility | | $6,456.54 | $8,709.64 | $25,118.86 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $3,235.94 / $4,365.16 / $22,387.21
| Professional | | $3,235.94 | $4,365.16 | $22,387.21 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $50.12 / $70.79 / $6,606.93
| Professional | | $50.12 | $70.79 | $6,606.93 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $7,762.47 / $8,709.64 / $20,417.38
| Facility | | $7,762.47 | $8,709.64 | $20,417.38 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $7,244.36 / $11,481.54 / $16,982.44
| Professional | | $7,244.36 | $11,481.54 | $16,982.44 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $11,748.98 / $16,982.44 / $23,442.29
| Professional | | $11,748.98 | $16,982.44 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $14,454.40 / $33,884.42 / $33,884.42
| Facility | | $14,454.40 | $33,884.42 | $33,884.42 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $3,467.37 / $28,840.32 / $35,481.34
| Professional | | $3,467.37 | $28,840.32 | $35,481.34 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $7,244.36 / $7,244.36 / $15,488.17
| Professional | | $7,244.36 | $7,244.36 | $15,488.17 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $7,244.36 / $23,442.29 / $39,810.72
| Professional | | $7,244.36 | $23,442.29 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $2,570.40 / $5,754.40 / $15,488.17
| Facility | | $2,570.40 | $5,754.40 | $15,488.17 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $3,019.95 / $4,365.16 / $10,964.78
| Professional | | $3,019.95 | $4,365.16 | $10,964.78 |