- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $9,332.54 / $17,378.01 / $21,379.62
| Facility | | $9,332.54 | $17,378.01 | $21,379.62 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $2,454.71 / $6,309.57 / $9,332.54
| Professional | | $2,454.71 | $6,309.57 | $9,332.54 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $16,595.87 / $20,892.96 / $21,379.62
| Facility | | $16,595.87 | $20,892.96 | $21,379.62 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $309.03 / $309.03 / $30,902.95
| Professional | | $309.03 | $309.03 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $21,379.62 / $25,118.86 / $39,810.72
| Facility | | $21,379.62 | $25,118.86 | $39,810.72 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $8,912.51 / $13,489.63 / $24,547.09
| Professional | | $8,912.51 | $13,489.63 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $8,511.38 / $32,359.37 / $48,977.88
| Facility | | $8,511.38 | $32,359.37 | $48,977.88 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $46,773.51 / $46,773.51 / $51,286.14
| Professional | | $46,773.51 | $46,773.51 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $6,918.31 / $9,332.54 / $26,915.35
| Facility | | $6,918.31 | $9,332.54 | $26,915.35 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $3,467.37 / $4,677.35 / $23,988.33
| Professional | | $3,467.37 | $4,677.35 | $23,988.33 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $50.12 / $64.57 / $85.11
| Professional | | $50.12 | $64.57 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $8,317.64 / $9,332.54 / $22,387.21
| Facility | | $8,317.64 | $9,332.54 | $22,387.21 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $7,762.47 / $12,302.69 / $18,197.01
| Professional | | $7,762.47 | $12,302.69 | $18,197.01 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $12,589.25 / $18,197.01 / $25,703.96
| Professional | | $12,589.25 | $18,197.01 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $15,488.17 / $37,153.52 / $37,153.52
| Facility | | $15,488.17 | $37,153.52 | $37,153.52 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $9,332.54 / $30,902.95 / $38,904.51
| Professional | | $9,332.54 | $30,902.95 | $38,904.51 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $16,595.87 / $16,595.87 / $16,595.87
| Professional | | $16,595.87 | $16,595.87 | $16,595.87 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $22,387.21 / $42,657.95 / $58,884.37
| Professional | | $22,387.21 | $42,657.95 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $2,818.38 / $6,165.95 / $16,982.44
| Facility | | $2,818.38 | $6,165.95 | $16,982.44 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $3,235.94 / $4,677.35 / $11,748.98
| Professional | | $3,235.94 | $4,677.35 | $11,748.98 |