- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $13.18 / $75.86 / $186.21
| Facility | | $13.18 | $75.86 | $186.21 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $23.44 / $79.43 / $144.54
| Professional | | $23.44 | $79.43 | $144.54 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.38 / $1.00 / $1.38
| Facility | | $0.38 | $1.00 | $1.38 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.28 / $0.30 / $0.72
| Professional | | $0.28 | $0.30 | $0.72 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.54 / $0.93 / $1.51
| Facility | | $0.54 | $0.93 | $1.51 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.28 / $0.46 / $1.66
| Professional | | $0.28 | $0.46 | $1.66 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.39 / $0.65 / $1.29
| Facility | | $0.39 | $0.65 | $1.29 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.30 / $0.30 / $0.30
| Professional | | $0.30 | $0.30 | $0.30 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.30 / $0.44 / $6,918.31
| Facility | | $0.30 | $0.44 | $6,918.31 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.30 / $0.30 / $0.50
| Professional | | $0.30 | $0.30 | $0.50 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.38 / $1.00 / $1.38
| Facility | | $0.38 | $1.00 | $1.38 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.28 / $0.30 / $0.72
| Professional | | $0.28 | $0.30 | $0.72 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.35 / $0.50 / $870.96
| Facility | | $0.35 | $0.50 | $870.96 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.35 / $0.40 / $0.46
| Professional | | $0.35 | $0.40 | $0.46 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.26 / $0.43 / $0.56
| Facility | | $0.26 | $0.43 | $0.56 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.28 / $0.30 / $0.60
| Professional | | $0.28 | $0.30 | $0.60 |