- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $22.39 / $100.00 / $446.68
| Facility | | $22.39 | $100.00 | $446.68 |
- Facility/Professional
- Facility
- Modifier
- CO
- Typical Low / Median / Typical High
- $39.81 / $87.10 / $407.38
| Facility | CO | $39.81 | $87.10 | $407.38 |
- Facility/Professional
- Facility
- Modifier
- CQ
- Typical Low / Median / Typical High
- $42.66 / $107.15 / $616.60
| Facility | CQ | $42.66 | $107.15 | $616.60 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $16.98 / $32.36 / $104.71
| Professional | | $16.98 | $32.36 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- CO
- Typical Low / Median / Typical High
- $18.20 / $43.65 / $147.91
| Professional | CO | $18.20 | $43.65 | $147.91 |
- Facility/Professional
- Professional
- Modifier
- CQ
- Typical Low / Median / Typical High
- $20.42 / $54.95 / $128.82
| Professional | CQ | $20.42 | $54.95 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- CQ
- Typical Low / Median / Typical High
- $19.95 / $22.91 / $34.67
| Professional | CQ | $19.95 | $22.91 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $33.11 / $79.43 / $151.36
| Facility | | $33.11 | $79.43 | $151.36 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $21.38 / $23.99 / $23.99
| Professional | | $21.38 | $23.99 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $28.84 / $74.13 / $120.23
| Facility | | $28.84 | $74.13 | $120.23 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28.18 / $36.31 / $77.62
| Professional | | $28.18 | $36.31 | $77.62 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $28.18 / $48.98 / $48.98
| Facility | | $28.18 | $48.98 | $48.98 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $54.95 / $64.57 / $75.86
| Facility | | $54.95 | $64.57 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $19.05 / $25.12 / $45.71
| Professional | | $19.05 | $25.12 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $34.67 / $186.21 / $186.21
| Facility | | $34.67 | $186.21 | $186.21 |
- Facility/Professional
- Facility
- Modifier
- CO
- Typical Low / Median / Typical High
- $158.49 / $158.49 / $158.49
| Facility | CO | $158.49 | $158.49 | $158.49 |
- Facility/Professional
- Facility
- Modifier
- CQ
- Typical Low / Median / Typical High
- $158.49 / $158.49 / $158.49
| Facility | CQ | $158.49 | $158.49 | $158.49 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $29.51 / $41.69 / $239.88
| Professional | | $29.51 | $41.69 | $239.88 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $18.62 / $32.36 / $165.96
| Facility | | $18.62 | $32.36 | $165.96 |
- Facility/Professional
- Facility
- Modifier
- CO
- Typical Low / Median / Typical High
- $39.81 / $85.11 / $407.38
| Facility | CO | $39.81 | $85.11 | $407.38 |
- Facility/Professional
- Facility
- Modifier
- CQ
- Typical Low / Median / Typical High
- $40.74 / $91.20 / $575.44
| Facility | CQ | $40.74 | $91.20 | $575.44 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $14.13 / $27.54 / $66.07
| Professional | | $14.13 | $27.54 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- CO
- Typical Low / Median / Typical High
- $39.81 / $43.65 / $147.91
| Professional | CO | $39.81 | $43.65 | $147.91 |
- Facility/Professional
- Professional
- Modifier
- CQ
- Typical Low / Median / Typical High
- $21.38 / $56.23 / $147.91
| Professional | CQ | $21.38 | $56.23 | $147.91 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $26.92 / $33.11 / $33.88
| Professional | | $26.92 | $33.11 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $27.54 / $38.02 / $107.15
| Professional | | $27.54 | $38.02 | $107.15 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $19.05 / $30.90 / $54.95
| Facility | | $19.05 | $30.90 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $19.05 / $25.12 / $45.71
| Professional | | $19.05 | $25.12 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $23.44 / $30.90 / $42.66
| Facility | | $23.44 | $30.90 | $42.66 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $23.44 / $26.92 / $39.81
| Professional | | $23.44 | $26.92 | $39.81 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28.18 / $29.51 / $29.51
| Professional | | $28.18 | $29.51 | $29.51 |