- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1.20 / $11.48 / $363.08
| Facility | | $1.20 | $11.48 | $363.08 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1.12 / $1.12 / $1.20
| Professional | | $1.12 | $1.12 | $1.20 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.39 / $0.39 / $0.39
| Professional | | $0.39 | $0.39 | $0.39 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.24 / $0.52 / $0.68
| Facility | | $0.24 | $0.52 | $0.68 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.39 / $0.39 / $1.86
| Professional | | $0.39 | $0.39 | $1.86 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.37 / $0.47 / $1.35
| Facility | | $0.37 | $0.47 | $1.35 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.39 / $0.39 / $0.59
| Professional | | $0.39 | $0.39 | $0.59 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.44 / $0.47 / $0.49
| Facility | | $0.44 | $0.47 | $0.49 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.44 / $0.47 / $0.47
| Professional | | $0.44 | $0.47 | $0.47 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.50 / $0.50 / $0.52
| Facility | | $0.50 | $0.50 | $0.52 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.65 / $50,118.72 / $75,857.76
| Facility | | $0.65 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.36 / $0.36 / $0.65
| Facility | | $0.36 | $0.36 | $0.65 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.37 / $0.42 / $1.07
| Professional | | $0.37 | $0.42 | $1.07 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.44 / $0.47 / $0.50
| Facility | | $0.44 | $0.47 | $0.50 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.28 / $0.44 / $0.56
| Professional | | $0.28 | $0.44 | $0.56 |