- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $2.69 / $28.84 / $165.96
| Facility | | $2.69 | $28.84 | $165.96 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.02 / $1.74 / $22.91
| Professional | | $0.02 | $1.74 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.22 / $0.48 / $1.05
| Professional | | $0.22 | $0.48 | $1.05 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.95 / $0.95 / $53,703.18
| Facility | | $0.95 | $0.95 | $53,703.18 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.31 / $0.31 / $0.62
| Professional | | $0.31 | $0.31 | $0.62 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.55 / $0.91 / $2.09
| Facility | | $0.55 | $0.91 | $2.09 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.44 / $0.79 / $1.10
| Professional | | $0.44 | $0.79 | $1.10 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.43 / $0.43 / $0.43
| Facility | | $0.43 | $0.43 | $0.43 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.42 / $0.43 / $0.45
| Professional | | $0.42 | $0.43 | $0.45 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.30 / $0.51 / $1.23
| Facility | | $0.30 | $0.51 | $1.23 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.95 / $50,118.72 / $75,857.76
| Facility | | $0.95 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.36 / $0.52 / $0.52
| Professional | | $0.36 | $0.52 | $0.52 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1.55 / $1.78 / $2.34
| Facility | | $1.55 | $1.78 | $2.34 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.18 / $0.36 / $1.26
| Professional | | $0.18 | $0.36 | $1.26 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.42 / $0.43 / $0.52
| Facility | | $0.42 | $0.43 | $0.52 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.42 / $0.43 / $0.45
| Professional | | $0.42 | $0.43 | $0.45 |