- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $2.34 / $14.45 / $69.18
| Facility | | $2.34 | $14.45 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1.86 / $2.14 / $3.39
| Professional | | $1.86 | $2.14 | $3.39 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1.45 / $1.62 / $4.37
| Professional | | $1.45 | $1.62 | $4.37 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $2.51 / $3.55 / $4.79
| Facility | | $2.51 | $3.55 | $4.79 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1.78 / $2.14 / $2.34
| Professional | | $1.78 | $2.14 | $2.34 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $2.45 / $5.25 / $8.51
| Facility | | $2.45 | $5.25 | $8.51 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1.41 / $2.40 / $3.55
| Professional | | $1.41 | $2.40 | $3.55 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1.51 / $2.09 / $2.51
| Professional | | $1.51 | $2.09 | $2.51 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $2.34 / $2.34 / $4.57
| Facility | | $2.34 | $2.34 | $4.57 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $2.34 / $4.17 / $6.46
| Facility | | $2.34 | $4.17 | $6.46 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $2.14 / $2.14 / $2.82
| Professional | | $2.14 | $2.14 | $2.82 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $2.75 / $3.55 / $6.31
| Facility | | $2.75 | $3.55 | $6.31 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1.78 / $2.14 / $2.34
| Professional | | $1.78 | $2.14 | $2.34 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $2.14 / $2.82 / $2.82
| Facility | | $2.14 | $2.82 | $2.82 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1.41 / $2.00 / $3.31
| Professional | | $1.41 | $2.00 | $3.31 |