- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $6,606.93 / $12,022.64 / $15,135.61
| Facility | | $6,606.93 | $12,022.64 | $15,135.61 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $3,890.45 / $4,677.35 / $7,079.46
| Professional | | $3,890.45 | $4,677.35 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $11,748.98 / $14,454.40 / $14,791.08
| Facility | | $11,748.98 | $14,454.40 | $14,791.08 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $2,187.76 / $2,187.76 / $21,877.62
| Professional | | $2,187.76 | $2,187.76 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $15,135.61 / $17,782.79 / $28,183.83
| Facility | | $15,135.61 | $17,782.79 | $28,183.83 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $3,981.07 / $8,128.31 / $16,982.44
| Professional | | $3,981.07 | $8,128.31 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $6,025.60 / $22,908.68 / $34,673.69
| Facility | | $6,025.60 | $22,908.68 | $34,673.69 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $32,359.37 / $32,359.37 / $36,307.81
| Professional | | $32,359.37 | $32,359.37 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $5,011.87 / $6,606.93 / $19,054.61
| Facility | | $5,011.87 | $6,606.93 | $19,054.61 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $2,454.71 / $3,311.31 / $16,982.44
| Professional | | $2,454.71 | $3,311.31 | $16,982.44 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $50.12 / $70.79 / $4,365.16
| Professional | | $50.12 | $70.79 | $4,365.16 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $6,025.60 / $6,606.93 / $15,848.93
| Facility | | $6,025.60 | $6,606.93 | $15,848.93 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $5,495.41 / $8,709.64 / $12,882.50
| Professional | | $5,495.41 | $8,709.64 | $12,882.50 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $8,709.64 / $12,882.50 / $17,782.79
| Professional | | $8,709.64 | $12,882.50 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $10,964.78 / $25,703.96 / $25,703.96
| Facility | | $10,964.78 | $25,703.96 | $25,703.96 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $2,630.27 / $21,877.62 / $26,915.35
| Professional | | $2,630.27 | $21,877.62 | $26,915.35 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $5,495.41 / $5,495.41 / $11,748.98
| Professional | | $5,495.41 | $5,495.41 | $11,748.98 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $5,495.41 / $17,782.79 / $30,199.52
| Professional | | $5,495.41 | $17,782.79 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1,995.26 / $4,365.16 / $12,022.64
| Facility | | $1,995.26 | $4,365.16 | $12,022.64 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $2,290.87 / $3,311.31 / $8,317.64
| Professional | | $2,290.87 | $3,311.31 | $8,317.64 |