- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $4,677.35 / $10,964.78 / $19,498.45
| Facility | | $4,677.35 | $10,964.78 | $19,498.45 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $2,454.71 / $6,309.57 / $51,286.14
| Professional | | $2,454.71 | $6,309.57 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $363.08 / $18,197.01 / $38,904.51
| Facility | | $363.08 | $18,197.01 | $38,904.51 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $309.03 / $323.59 / $6,918.31
| Professional | | $309.03 | $323.59 | $6,918.31 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $4,570.88 / $6,165.95 / $15,848.93
| Professional | | $4,570.88 | $6,165.95 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $5,370.32 / $13,803.84 / $26,302.68
| Facility | | $5,370.32 | $13,803.84 | $26,302.68 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $4,168.69 / $8,317.64 / $30,902.95
| Professional | | $4,168.69 | $8,317.64 | $30,902.95 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $7,762.47 / $8,511.38 / $11,748.98
| Professional | | $7,762.47 | $8,511.38 | $11,748.98 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $6,918.31 / $8,511.38 / $13,489.63
| Professional | | $6,918.31 | $8,511.38 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $37,153.52 / $37,153.52 / $37,153.52
| Facility | | $37,153.52 | $37,153.52 | $37,153.52 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $38,904.51 / $58,884.37 / $58,884.37
| Professional | | $38,904.51 | $58,884.37 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $4,073.80 / $9,332.54 / $20,417.38
| Facility | | $4,073.80 | $9,332.54 | $20,417.38 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $4,570.88 / $8,511.38 / $23,442.29
| Professional | | $4,570.88 | $8,511.38 | $23,442.29 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $6,165.95 / $8,709.64 / $117,489.76
| Professional | | $6,165.95 | $8,709.64 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $3,235.94 / $7,762.47 / $7,762.47
| Facility | | $3,235.94 | $7,762.47 | $7,762.47 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $3,235.94 / $3,235.94 / $16,218.10
| Professional | | $3,235.94 | $3,235.94 | $16,218.10 |