- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $3.89 / $14.79 / $53.70
| Facility | | $3.89 | $14.79 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $2.00 / $2.40 / $8.51
| Professional | | $2.00 | $2.40 | $8.51 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $2.45 / $3.80 / $60.26
| Facility | | $2.45 | $3.80 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1.62 / $2.69 / $6.61
| Professional | | $1.62 | $2.69 | $6.61 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $5.13 / $6.46 / $9.33
| Facility | | $5.13 | $6.46 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $2.51 / $2.51 / $3.39
| Professional | | $2.51 | $2.51 | $3.39 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $2.09 / $4.27 / $10.47
| Facility | | $2.09 | $4.27 | $10.47 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1.58 / $2.95 / $7.24
| Professional | | $1.58 | $2.95 | $7.24 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $3.09 / $18.62 / $7,079.46
| Facility | | $3.09 | $18.62 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $3.72 / $3.72 / $4.37
| Professional | | $3.72 | $3.72 | $4.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $2.69 / $2.69 / $7.41
| Professional | | $2.69 | $2.69 | $7.41 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $3.31 / $4.07 / $38.02
| Facility | | $3.31 | $4.07 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $2.45 / $3.80 / $60.26
| Facility | | $2.45 | $3.80 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1.62 / $2.69 / $6.61
| Professional | | $1.62 | $2.69 | $6.61 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $2.40 / $3.09 / $6.31
| Facility | | $2.40 | $3.09 | $6.31 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $2.40 / $2.75 / $4.07
| Professional | | $2.40 | $2.75 | $4.07 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1.35 / $2.69 / $3.98
| Facility | | $1.35 | $2.69 | $3.98 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1.62 / $2.24 / $7.24
| Professional | | $1.62 | $2.24 | $7.24 |