- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $69,183.10 / $69,183.10 / $69,183.10
| Facility | | $69,183.10 | $69,183.10 | $69,183.10 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $63,095.73 / $67,608.30 / $69,183.10
| Professional | | $63,095.73 | $67,608.30 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $56,234.13 / $114,815.36 / $194,984.46
| Facility | | $56,234.13 | $114,815.36 | $194,984.46 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $64,565.42 / $64,565.42 / $109,647.82
| Professional | | $64,565.42 | $64,565.42 | $109,647.82 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $64,565.42 / $64,565.42 / $64,565.42
| Professional | | $64,565.42 | $64,565.42 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $72,443.60 / $134,896.29 / $173,780.08
| Facility | | $72,443.60 | $134,896.29 | $173,780.08 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $69,183.10 / $69,183.10 / $69,183.10
| Professional | | $69,183.10 | $69,183.10 | $69,183.10 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $66,069.34 / $77,624.71 / $104,712.85
| Professional | | $66,069.34 | $77,624.71 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $69,183.10 / $81,283.05 / $123,026.88
| Facility | | $69,183.10 | $81,283.05 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $64,565.42 / $81,283.05 / $100,000.00
| Facility | | $64,565.42 | $81,283.05 | $100,000.00 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $64,565.42 / $81,283.05 / $100,000.00
| Professional | | $64,565.42 | $81,283.05 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $56,234.13 / $69,183.10 / $123,026.88
| Facility | | $56,234.13 | $69,183.10 | $123,026.88 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $66,069.34 / $67,608.30 / $79,432.82
| Professional | | $66,069.34 | $67,608.30 | $79,432.82 |