- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $64,565.42 / $64,565.42 / $64,565.42
| Facility | | $64,565.42 | $64,565.42 | $64,565.42 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $64,565.42 / $66,069.34 / $69,183.10
| Professional | | $64,565.42 | $66,069.34 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $104,712.85 / $123,026.88 / $125,892.54
| Facility | | $104,712.85 | $123,026.88 | $125,892.54 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $56,234.13 / $67,608.30 / $177,827.94
| Professional | | $56,234.13 | $67,608.30 | $177,827.94 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $53,703.18 / $107,151.93 / $141,253.75
| Facility | | $53,703.18 | $107,151.93 | $141,253.75 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $53,703.18 / $85,113.80 / $117,489.76
| Professional | | $53,703.18 | $85,113.80 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $64,565.42 / $169,824.37 / $234,422.88
| Facility | | $64,565.42 | $169,824.37 | $234,422.88 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $47,863.01 / $64,565.42 / $83,176.38
| Facility | | $47,863.01 | $64,565.42 | $83,176.38 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $67,608.30 / $67,608.30 / $95,499.26
| Professional | | $67,608.30 | $67,608.30 | $95,499.26 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $32.36 / $58.88 / $19,054.61
| Professional | | $32.36 | $58.88 | $19,054.61 |
- 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
- $81,283.05 / $81,283.05 / $81,283.05
| Professional | | $81,283.05 | $81,283.05 | $81,283.05 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,905.46 / $173,780.08 / $257,039.58
| Professional | | $1,905.46 | $173,780.08 | $257,039.58 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $69,183.10 / $69,183.10 / $281,838.29
| Facility | | $69,183.10 | $69,183.10 | $281,838.29 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $69,183.10 / $83,176.38 / $363,078.05
| Professional | | $69,183.10 | $83,176.38 | $363,078.05 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $56,234.13 / $56,234.13 / $131,825.67
| Facility | | $56,234.13 | $56,234.13 | $131,825.67 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $67,608.30 / $67,608.30 / $85,113.80
| Professional | | $67,608.30 | $67,608.30 | $85,113.80 |